Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11269 | Date 15/07/2022 |
| Token No | SM/22-23/14673 16/07/2022 | Serial | 002 Last Visit: 16/07/2022 |
| Patient Name | Mr. SK NISHAN ALI | Contact No | 9073440268 |
| Address | 7/B MUSALMAN PARA BYE LANE,CHATRA | Age | 33 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | 158.7 cm BMI: 24.617154 |
| Diagnosis | |||