Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03472 | Date 08/02/2019 |
| Token No | SM/18-19/8345 08/02/2019 | Serial | 071 Last Visit: 18/05/2022 |
| Patient Name | Mrs. JUNEHER BEGAM | Contact No | 8017676928 |
| Address | RISHRA, MIRPUR BHADUA | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||