Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02381 | Date 03/08/2022 |
| Token No | SM/22-23/1811 03/08/2022 | Serial | 004 |
| Patient Name | Mr. SEKH MINTU | Contact No | |
| Address | TARAPUKUR ROAD MALLICK PARA 712203 | Age | 32 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||