Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15311 | Date 16/05/2025 |
| Token No | SM/25-26/1499 19/05/2025 | Serial | 049 Last Visit: 19/05/2025 |
| Patient Name | Miss SABINA KHATUN | Contact No | 6290255085 |
| Address | 21 MUSALMAN PARA BYE LANE CHATR SERAMPORE | Age | 12 Years,11 Months,15 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 42.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||