Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 10610 | Date 30/09/2023 |
| Token No | SM/22-23/12874 30/09/2023 | Serial | 009 |
| Patient Name | Mr. SAIF ALAM | Contact No | 8443973553 |
| Address | 25 NO PK DAS LANE | Age | 14 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||