Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 13492 | Date 09/09/2025 |
| Token No | SM/25-26/1999 10/09/2025 | Serial | 026 |
| Patient Name | Mrs. HASINA KHATOON | Contact No | 6290723045 |
| Address | TIN BAZAR | Age | 32 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||