Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00496 | Date 16/08/2018 |
| Token No | SM/20-21/27999 02/12/2020 | Serial | 014 Last Visit: 08/08/2025 |
| Patient Name | Mrs. MAJERA BIBI | Contact No | 7044338915 |
| Address | 5/A CHATRA MUSALMAN PARA BYE LANE | Age | 35 Years,0 Months,26 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||