Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 10984 | Date 10/05/2022 |
| Token No | SM/22-23/12285 10/05/2022 | Serial | 021 Last Visit: 10/05/2022 |
| Patient Name | Mr. SABIR ALI | Contact No | 7044711624 |
| Address | SHEORAPHULI | Age | 35 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||