Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01913 | Date 05/11/2018 |
| Token No | SM/21-22/1039 30/04/2021 | Serial | 033 Last Visit: 23/06/2025 |
| Patient Name | Miss RAI MALIK | Contact No | 8910513962 |
| Address | 59B CHATRA DHARMA TALA | Age | 9 Years,5 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||