Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10615 | Date 01/02/2022 |
| Token No | SM/21-22/9599 04/02/2022 | Serial | 008 Last Visit: 09/06/2022 |
| Patient Name | Mrs. FATMA KHATUN | Contact No | 9330351978 |
| Address | 23,PARSI LANE | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||