Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00101 | Date 03/08/2018 |
| Token No | SM/20-21/26965 28/10/2020 | Serial | 019 Last Visit: 21/03/2024 |
| Patient Name | Mrs. DEBILINA CHOUDHRY | Contact No | |
| Address | 29/C CHATRA CHOUDHRY PARA | Age | 22 Years,2 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||