Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10474 | Date 30/12/2021 |
| Token No | SM/21-22/8747 10/01/2022 | Serial | 029 Last Visit: 15/05/2024 |
| Patient Name | Mrs. SAJEENA KHATUN | Contact No | 8334920722 |
| Address | 18/1 KANAI DEON TALA, | Age | 34 Years,4 Months,12 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||