Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06516 | Date 23/09/2019 |
| Token No | SM/19-20/10962 23/09/2019 | Serial | 089 Last Visit: 23/09/2019 |
| Patient Name | Miss SANA PAVHIN | Contact No | |
| Address | 56 N. N. ROY STREET | Age | 8 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 24 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||