Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07503 | Date 08/02/2020 |
| Token No | SM/19-20/19290 07/03/2020 | Serial | 036 Last Visit: 14/07/2025 |
| Patient Name | Mrs. BEBI BIBI | Contact No | 9330312997 |
| Address | 7/A MUSALMAN PARA BYE LANE | Age | 36 Years,6 Months,11 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||