Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10614 | Date 01/02/2022 |
| Token No | SM/21-22/9601 04/02/2022 | Serial | 010 Last Visit: 29/10/2025 |
| Patient Name | Mrs. REHANA KHATOON | Contact No | 7439400493 |
| Address | 18 NO PARSHI LANE | Age | 29 Years,6 Months,28 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||