Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02754 | Date 22/09/2022 |
| Token No | SM/22-23/2930 22/09/2022 | Serial | 019 |
| Patient Name | Mrs. MUSLEMA BIBI | Contact No | |
| Address | MALLIKPARA SERAMPORE 712203 | Age | 52 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||