Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12460 | Date 12/09/2023 |
| Token No | SM/22-23/25076 07/10/2023 | Serial | 052 Last Visit: 11/10/2023 |
| Patient Name | Mrs. CHAMPA BAG | Contact No | |
| Address | BAKURA | Age | 25 Years,9 Months,8 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 86/54 mmHg | Weight | 33.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||