Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09700 | Date 09/06/2021 |
| Token No | SM/21-22/2091 09/06/2021 | Serial | 056 Last Visit: 11/01/2022 |
| Patient Name | Mr. MD AKTER | Contact No | |
| Address | MALLICKPARA | Age | 52 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||