Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06599 | Date 03/08/2022 |
| Token No | SM/22-23/4337 04/08/2022 | Serial | 051 |
| Patient Name | Mrs. TAMANNA FARHEEN | Contact No | 7449821779 |
| Address | 6 T C GOSWAMI | Age | 25 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||