Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09247 | Date 22/02/2021 |
| Token No | SM/20-21/30153 22/02/2021 | Serial | 001 Last Visit: 22/02/2021 |
| Patient Name | Mr. ATIUR | Contact No | |
| Address | Age | 39 Male | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||