Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07638 | Date 14/11/2022 |
| Token No | SM/22-23/7013 15/12/2022 | Serial | 022 |
| Patient Name | Mrs. RUKSANA BEGUM. | Contact No | 983630264 |
| Address | 82 PACHU GOPAL BHADURI SARANI | Age | 31 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||