Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10340 | Date 26/11/2021 |
| Token No | SM/21-22/7203 26/11/2021 | Serial | 024 Last Visit: 26/11/2021 |
| Patient Name | Mrs. MUSKAN KHATUN | Contact No | |
| Address | ARABINDO SARANI CHATRA | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||