Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 14400 | Date 17/10/2024 |
| Token No | SM/24-25/38236 17/10/2024 | Serial | 002 Last Visit: 17/10/2024 |
| Patient Name | Mrs. SAMMAHA PARBIN | Contact No | |
| Address | 63/4 R.K ROAD | Age | 21 Years,0 Months,16 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||