Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12724 | Date 05/03/2025 |
| Token No | SM/25-26/3025 17/12/2025 | Serial | 013 |
| Patient Name | Mrs. MINAR BEGUM | Contact No | 6291594496 |
| Address | 606 G.T. ROAD | Age | 45 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||