Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14276 | Date 19/09/2024 |
| Token No | SM/24-25/38617 26/10/2024 | Serial | 002 Last Visit: 28/10/2024 |
| Patient Name | Mr. MUSTAK HOSSEN | Contact No | |
| Address | 18 NO. MUSALMAN PARA BYE LANE SERAMPORE | Age | 12 Years,0 Months,28 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 27.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||