Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16239 | Date 05/11/2025 |
| Token No | SM/25-26/7601 05/11/2025 | Serial | 007 Last Visit: 05/11/2025 |
| Patient Name | Mrs. MARIAM PARVEEN | Contact No | 8448637018 |
| Address | 25/C KANAI DEWAN TOLA | Age | 6 Years,0 Months,4 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||