Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16232 | Date 04/11/2025 |
| Token No | SM/25-26/7586 04/11/2025 | Serial | 007 Last Visit: 04/11/2025 |
| Patient Name | Mr. SK MD ALI | Contact No | |
| Address | 19 NO CHATRA KANAI SEWAN TOLA | Age | 42 Years,8 Months,4 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||