Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16238 | Date 04/11/2025 |
| Token No | SM/25-26/7592 04/11/2025 | Serial | 013 Last Visit: 04/11/2025 |
| Patient Name | Mr. S.K FARUK | Contact No | |
| Address | 18/1 CHATRA MUSALMAN PARA | Age | 26 Years,5 Months,0 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||