Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10230 | Date 31/08/2023 |
| Token No | SM/24-25/17183 27/06/2024 | Serial | 014 |
| Patient Name | Mr. KAMAL CHOWDHURY | Contact No | 9051899810 |
| Address | 18 CHOWDHURY PARA | Age | 70 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||