Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06597 | Date 03/08/2022 |
| Token No | SM/22-23/4335 04/08/2022 | Serial | 049 |
| Patient Name | Mrs. SALMA KHATUN | Contact No | 9874407704 |
| Address | 20 PARSHI LANE | Age | 21 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||