Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08850 | Date 12/10/2020 |
| Token No | SM/21-22/10515 05/03/2022 | Serial | 018 Last Visit: 05/03/2022 |
| Patient Name | Miss SABINA KHATUN | Contact No | 9088698935 |
| Address | 4/A K.M. BHATTACHRJEE STREET | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||