Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02055 | Date 20/11/2018 |
| Token No | SM/24-25/33909 20/06/2024 | Serial | 064 Last Visit: 06/12/2025 |
| Patient Name | Mrs. SEHANAJ AMINUR SK | Contact No | 7890076607 |
| Address | 23/1A CHATRA MUSALMAN PARA BY LANE | Age | 47 Years,11 Months,4 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | 151.5 cm BMI: 31.369474 |
| Diagnosis | |||