Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10474 | Date 22/09/2023 |
| Token No | SM/25-26/181 21/04/2025 | Serial | 026 |
| Patient Name | Mrs. NASIMA BEGUM | Contact No | 9748144788 |
| Address | 13 K.C.BHATTACHARYA STREET | Age | 52 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||