Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00984 | Date 07/09/2018 |
| Token No | SM/18-19/1375 08/09/2018 | Serial | 004 Last Visit: 09/10/2024 |
| Patient Name | Mrs. SIKHA BIB | Contact No | |
| Address | CHATRA MUSALMAN PARA | Age | 41 Years,9 Months,7 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||