Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07937 | Date 13/12/2022 |
| Token No | SM/22-23/7014 15/12/2022 | Serial | 023 |
| Patient Name | Mrs. AFREEN KHATOON | Contact No | 8910777824 |
| Address | 1 K.M. BHATTACHARJEE STREET | Age | 21 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||