Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05659 | Date 14/11/2023 |
| Token No | SM/22-23/15506 14/11/2023 | Serial | 026 |
| Patient Name | Mrs. KHUSBOO KHATUN | Contact No | 7557027230 |
| Address | CHATRA MUSALMAN PARA 712203 | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||