Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06460 | Date 19/09/2019 |
| Token No | SM/19-20/11608 14/10/2019 | Serial | 002 Last Visit: 11/03/2020 |
| Patient Name | Mrs. SHAHEEN PARVEEN | Contact No | 8910101745 |
| Address | 7, P.C.D BAZAR ROAD RISHRA (M) | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 97 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||