Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12500 | Date 30/12/2024 |
| Token No | SM/24-25/20394 30/12/2024 | Serial | 001 |
| Patient Name | Mrs. PRITI KUMARI | Contact No | 8294144069 |
| Address | 26/A NATUN BAGAN | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||