Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06444 | Date 22/07/2022 |
| Token No | SM/22-23/4251 02/08/2022 | Serial | 010 |
| Patient Name | Mrs. BABY KHATUN | Contact No | 8100147955 |
| Address | 27/A T P BHATTACHARJEE STREET | Age | 26 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||