Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01098 | Date 13/09/2018 |
| Token No | SM/18-19/4815 07/12/2018 | Serial | 009 Last Visit: 17/03/2021 |
| Patient Name | Mr. SK KALAM | Contact No | 9088360322 |
| Address | CHATRA MUSALMAN PARA | Age | 55 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||