Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01525 | Date 30/04/2020 |
| Token No | SM/22-23/3426 13/10/2022 | Serial | 032 |
| Patient Name | Mrs. FARIDA BIBI | Contact No | 9038705392 |
| Address | 89/A MADRASHA MALLICKPARA LANE SERAMPORE 712203 | Age | 36 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||