Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02911 | Date 09/01/2019 |
| Token No | SM/18-19/6583 10/01/2019 | Serial | 010 Last Visit: 08/09/2021 |
| Patient Name | Mr. SK SANUAR | Contact No | 6289124740 |
| Address | 12 CHATRA MUSALMAN PARA BYE LANE | Age | 45 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||