Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03472 | Date 08/02/2019 |
| Token No | SM/20-21/26423 07/10/2020 | Serial | 026 Last Visit: 18/05/2022 |
| Patient Name | Mrs. JUNEHER BEGAM | Contact No | 8017676928 |
| Address | RISHRA, MIRPUR BHADUA | Age | 40 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||