Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09600 | Date 10/05/2021 |
| Token No | SM/21-22/8357 31/12/2021 | Serial | 044 Last Visit: 02/03/2022 |
| Patient Name | Miss NIVEA KHATUN | Contact No | 7044143719 |
| Address | 7 MUSALMAN PARA BYE LANE,(TIKIYA) | Age | 16 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||