Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12520 | Date 26/09/2023 |
| Token No | SM/22-23/24789 27/09/2023 | Serial | 035 Last Visit: 28/10/2024 |
| Patient Name | Miss MARIAM KHATUN | Contact No | 8858861995 |
| Address | 33 MUSALMAN PARA SERAMPORE | Age | 8 Years,4 Months,0 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 20.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||