Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10313 | Date 22/11/2021 |
| Token No | SM/21-22/7075 23/11/2021 | Serial | 041 Last Visit: 23/11/2021 |
| Patient Name | Mrs. KAHIRUN NISA | Contact No | 9123805873 |
| Address | 18 PARSHI LANE, | Age | 29 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||