Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11121 | Date 08/02/2024 |
| Token No | SM/22-23/14754 12/02/2024 | Serial | 030 |
| Patient Name | Mrs. AKHTARI BEGUM | Contact No | 7480950217 |
| Address | DHARMATALA | Age | 41 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||