Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07678 | Date 15/11/2022 |
| Token No | SM/22-23/6974 13/12/2022 | Serial | 030 |
| Patient Name | Mrs. MAYA CHOWDHURY | Contact No | 8013551710 |
| Address | 56 RAILAND ROAD | Age | 23 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||