Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07510 | Date 04/11/2022 |
| Token No | SM/22-23/6293 14/11/2022 | Serial | 046 |
| Patient Name | Mrs. SAJDA BEGUM | Contact No | 6291716118 |
| Address | SERAMPORE TIN BAZAR | Age | 40 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||