Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 12218 | Date 08/10/2024 |
| Token No | SM/24-25/19263 08/10/2024 | Serial | 002 |
| Patient Name | Mrs. NAZNEEN PARVEEN | Contact No | 7439891893 |
| Address | 3 NO R.K.ROAD GOALAPARA | Age | 21 Y Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||