Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 16292 | Date 20/11/2025 |
| Token No | SM/25-26/8160 20/11/2025 | Serial | 005 Last Visit: 20/11/2025 |
| Patient Name | Mrs. MARZINA KHATOON | Contact No | 8820394078 |
| Address | 16/BRABINDRA BHAWAN ROAD | Age | 35 Years,10 Months,17 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | 144.2 cm BMI: 21.160316 |
| Diagnosis | |||