Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10176 | Date 04/10/2021 |
| Token No | SM/21-22/6369 28/10/2021 | Serial | 035 Last Visit: 13/02/2024 |
| Patient Name | Mrs. TABASSUN KHATUN | Contact No | 9330621815 |
| Address | 5,ARABINDA SARANI CHATRA SERAMPORE | Age | 23 Years,1 Months,16 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||