Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12002 | Date 24/08/2024 |
| Token No | SM/24-25/18470 29/08/2024 | Serial | 034 |
| Patient Name | Mrs. RANI CHOWDHURY | Contact No | 7003287993 |
| Address | 55 RAILAND ROAD(1ST CHEKUP) | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||