Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10527 | Date 08/01/2022 |
| Token No | SM/21-22/8677 08/01/2022 | Serial | 008 Last Visit: 08/01/2022 |
| Patient Name | Mrs. RINA MALIK | Contact No | 7044108638 |
| Address | 56/40 HARIJAN ROAD LANKAR BAGAN | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | 143 cm BMI: 20.049880 |
| Diagnosis | |||