Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16233 | Date 04/11/2025 |
| Token No | SM/25-26/7587 04/11/2025 | Serial | 008 Last Visit: 04/11/2025 |
| Patient Name | Mr. SAIDUL | Contact No | |
| Address | MOYLADEBUR | Age | 10 Years,6 Months,29 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||