Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15525 | Date 11/06/2025 |
| Token No | SM/25-26/2356 11/06/2025 | Serial | 013 Last Visit: 11/06/2025 |
| Patient Name | Mrs. ROHINI CHOWDHURY | Contact No | 8583897700 |
| Address | 7 KENAS LANE | Age | 6 Years,7 Months,18 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 18.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||