Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04037 | Date 06/03/2019 |
| Token No | SM/18-19/9970 06/03/2019 | Serial | 060 Last Visit: 08/08/2022 |
| Patient Name | Miss SALMA KHATUN | Contact No | 7059904137 |
| Address | 5/A CHATRA MUSALMAN PARA | Age | 17 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||