Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07969 | Date 16/12/2022 |
| Token No | SM/22-23/7035 16/12/2022 | Serial | 015 |
| Patient Name | Mr. MD. WADUD | Contact No | 6891281669 |
| Address | 2 PARSHI LANE | Age | 66 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||