Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02579 | Date 29/08/2022 |
| Token No | SM/22-23/14791 30/10/2023 | Serial | 012 |
| Patient Name | Mrs. FAIZAN BIBI | Contact No | 8436254538 |
| Address | BHOLADANGA GAYESHPUR NADIA | Age | 40 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||