Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10687 | Date 19/02/2022 |
| Token No | SM/21-22/10024 19/02/2022 | Serial | 012 Last Visit: 19/02/2022 |
| Patient Name | Miss NAGHMA KHATOON | Contact No | 7044727445 |
| Address | 16/A BAZAR BYE LANE | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||