Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11777 | Date 15/12/2022 |
| Token No | SM/22-23/19189 23/12/2022 | Serial | 034 Last Visit: 29/12/2022 |
| Patient Name | Mr. AYNUL MOLLA | Contact No | 7890938925 |
| Address | SHEORAPHULI | Age | 50 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||