Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04741 | Date 07/08/2023 |
| Token No | SM/22-23/11471 07/08/2023 | Serial | 039 |
| Patient Name | Mrs. JHIMI KHATUN | Contact No | 6290333544 |
| Address | 56 N.N. ROY STREET | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||