Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12767 | Date 28/11/2023 |
| Token No | SM/25-26/5101 20/08/2025 | Serial | 062 Last Visit: 20/08/2025 |
| Patient Name | Mrs. NAZMA SEKH | Contact No | 9123853401 |
| Address | 53 CHATRA MUSALMAN PARA ROAD | Age | 38 Years,7 Months,18 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 99/67 mmHg | Weight | 56.2 KG |
| Pulse Rate | / min | Height | 147 cm BMI: 26.007682 |
| Diagnosis | |||