Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06826 | Date 09/11/2019 |
| Token No | SM/19-20/12942 09/11/2019 | Serial | 020 Last Visit: 09/11/2019 |
| Patient Name | Miss JAHANARA KHATUN | Contact No | |
| Address | SHEORAPHULI | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||