Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09634 | Date 17/07/2023 |
| Token No | SM/22-23/13017 11/10/2023 | Serial | 015 |
| Patient Name | Mrs. HASINA BANU | Contact No | 9123956318 |
| Address | 10 GOPINATH SAHA STREET | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||