Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16237 | Date 04/11/2025 |
| Token No | SM/25-26/7818 10/11/2025 | Serial | 038 Last Visit: 10/11/2025 |
| Patient Name | Mrs. MEHERUN BIBI | Contact No | |
| Address | 41 NO CHATRA MUSALMAN PARA | Age | 53 Years,9 Months,0 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||