Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 00315 | Date 10/08/2018 |
| Token No | SM/19-20/8784 20/08/2019 | Serial | 063 Last Visit: 21/04/2025 |
| Patient Name | Mrs. SUNITA RAJBHAR | Contact No | |
| Address | TIN BAZAR BY LANE | Age | 6 Years,0 Months,18 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||