Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07680 | Date 15/11/2022 |
| Token No | SM/22-23/6544 22/11/2022 | Serial | 035 |
| Patient Name | Mrs. NAZIA BEGUM | Contact No | NOT GIVEN |
| Address | 53 DEY STREET | Age | 34 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||