Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07353 | Date 16/01/2020 |
| Token No | SM/22-23/18972 17/12/2022 | Serial | 018 Last Visit: 17/12/2022 |
| Patient Name | Mrs. MAJERA BIBI | Contact No | |
| Address | CHATRA MUSALMANPARA | Age | 29 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||