Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07263 | Date 17/10/2022 |
| Token No | SM/22-23/5657 18/10/2022 | Serial | 042 |
| Patient Name | Mr. SEKH OSMAN | Contact No | 8820394467 |
| Address | 26 A K C BHATTACHARJEE STREET | Age | 48 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||