Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05754 | Date 25/04/2022 |
| Token No | SM/22-23/2846 28/04/2022 | Serial | 009 |
| Patient Name | Mrs. YASODHA DEBI | Contact No | 9477228074 |
| Address | 17/2 CHOWDHURY PARA LANE | Age | 60 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||