Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12729 | Date 10/11/2023 |
| Token No | SM/22-23/26214 11/11/2023 | Serial | 024 Last Visit: 11/11/2023 |
| Patient Name | Mr. AVIJIT CHOWDHURY | Contact No | |
| Address | 20,CHOWDHURY PARA LANE | Age | 42 Years,10 Months,16 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 88 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||