Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 13115 | Date 13/06/2025 |
| Token No | SM/25-26/869 18/06/2025 | Serial | 004 |
| Patient Name | Mrs. SAMIMA BEGUM | Contact No | 9830146986 |
| Address | 2 PARSHI LANE | Age | 45 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||