Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 10374 | Date 02/12/2021 |
| Token No | SM/21-22/7393 02/12/2021 | Serial | 005 Last Visit: 02/12/2021 |
| Patient Name | Mrs. SHAMA PARVIN | Contact No | 8420782849 |
| Address | 18 LIBRARY LANE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||