Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 05817 | Date 11/05/2022 |
| Token No | SM/22-23/3443 16/06/2022 | Serial | 019 |
| Patient Name | Mrs. SHAHZADI KHATOON | Contact No | 7439352939 |
| Address | 41 K.M BHATTACHARYA STREET | Age | 24 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||