Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16230 | Date 04/11/2025 |
| Token No | SM/25-26/7584 04/11/2025 | Serial | 005 Last Visit: 04/11/2025 |
| Patient Name | Mrs. BADRUN DAS | Contact No | |
| Address | 20 NO CHATRA KANI DEWAN TOLA | Age | 45 Years,10 Months,3 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||