Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11415 | Date 18/04/2024 |
| Token No | SM/24-25/18002 07/08/2024 | Serial | 045 |
| Patient Name | Mrs. RIMA KHATUN | Contact No | 7439555452 |
| Address | 11KC BHATTACHARYA ST | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||