Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07637 | Date 14/11/2022 |
| Token No | SM/22-23/6359 15/11/2022 | Serial | 046 |
| Patient Name | Mrs. TARANA KHATUN | Contact No | 6291218659 |
| Address | 41 K M BHATTACHARJEE STREET | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||