Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01822 | Date 01/11/2018 |
| Token No | SM/18-19/3322 02/11/2018 | Serial | 006 Last Visit: 11/06/2025 |
| Patient Name | Mrs. MINA BIBI | Contact No | 7044171059 |
| Address | CHATRA MUSALMAN PARA | Age | 40 Years,5 Months,8 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||