Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09349 | Date 19/03/2021 |
| Token No | SM/25-26/6380 22/09/2025 | Serial | 005 Last Visit: 22/09/2025 |
| Patient Name | Mrs. AZMERI KHATUN | Contact No | 8910728961 |
| Address | 17, PARSHI LANE SERAMPORE | Age | 32 Years,8 Months,20 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||