Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01074 | Date 12/09/2018 |
| Token No | SM/18-19/1580 13/09/2018 | Serial | 003 Last Visit: 16/06/2025 |
| Patient Name | Mrs. MINA BIBI | Contact No | 6290668927 |
| Address | CHATRA MUSALMANPARA | Age | 27 Years,0 Months,15 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||