Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00271 | Date 09/08/2018 |
| Token No | SM/18-19/3634 14/11/2018 | Serial | 023 Last Visit: 19/09/2022 |
| Patient Name | Mrs. JAHANARA BIBI | Contact No | 9830753770 |
| Address | 30 CHATRA MUSALAMAN PARA BYE LANE | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||