Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11484 | Date 06/05/2024 |
| Token No | SM/24-25/16086 06/05/2024 | Serial | 027 |
| Patient Name | Mrs. DIKI HMAR | Contact No | |
| Address | DEY STREET | Age | 34 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||