Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13452 | Date 02/09/2025 |
| Token No | SM/25-26/2299 15/10/2025 | Serial | 010 |
| Patient Name | Mr. RAYAN MOLLAH | Contact No | 9073042866 |
| Address | 18 AKC BHATTACHARJEE STREET | Age | 5 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||