Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08769 | Date 22/09/2020 |
| Token No | SM/20-21/25951 22/09/2020 | Serial | 047 Last Visit: 22/09/2020 |
| Patient Name | Miss AIYAT FIRDOUS | Contact No | |
| Address | 57 N. N. ROY STREET | Age | 7 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||