Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13062 | Date 02/01/2024 |
| Token No | SM/25-26/7593 04/11/2025 | Serial | 014 Last Visit: 04/11/2025 |
| Patient Name | Mrs. FIROZA BIBI | Contact No | |
| Address | 7 NO ARABINDA SARANI | Age | 38 Years,3 Months,28 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||