Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 10854 | Date 31/03/2022 |
| Token No | SM/22-23/11323 02/04/2022 | Serial | 017 Last Visit: 02/04/2022 |
| Patient Name | Mr. MD MANSUR | Contact No | 9331728795 |
| Address | 26 P.K. DAS LANE, | Age | 50 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||