Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 10611 | Date 30/09/2023 |
| Token No | SM/22-23/12875 30/09/2023 | Serial | 010 |
| Patient Name | Mr. MD. ZOHAAN TANWEER | Contact No | 6290266100 |
| Address | 51/ A/1 RK ROAD | Age | 12 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||