Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00136 | Date 04/08/2018 |
| Token No | SM/18-19/139 04/08/2018 | Serial | 035 Last Visit: 29/06/2024 |
| Patient Name | Mrs. SABANA KHATOON | Contact No | |
| Address | MUSALMAN PARA BY LANE | Age | 14 Years,5 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||