Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11182 | Date 23/06/2022 |
| Token No | SM/22-23/13933 23/06/2022 | Serial | 052 Last Visit: 23/06/2022 |
| Patient Name | Mr. SK.ABDULLAH | Contact No | |
| Address | SHEORAPHULI | Age | 54 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||