Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16240 | Date 05/11/2025 |
| Token No | SM/25-26/7604 05/11/2025 | Serial | 010 Last Visit: 05/11/2025 |
| Patient Name | Mr. SK. RUSTAM | Contact No | |
| Address | 20 NO M.P BYLANE | Age | 65 Years,0 Months,3 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||