Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10709 | Date 22/02/2022 |
| Token No | SM/21-22/10349 28/02/2022 | Serial | 055 Last Visit: 28/02/2022 |
| Patient Name | Mrs. PINKI KHATUN | Contact No | 9804325584 |
| Address | 44/A CHATRA MUSALMAN PARA BYE ROAD | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||