Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10547 | Date 11/01/2022 |
| Token No | SM/21-22/8847 11/01/2022 | Serial | 038 Last Visit: 11/01/2022 |
| Patient Name | Miss RIYA MALIK | Contact No | 9062024232 |
| Address | 56/40 HARIJAN ROAD LANKAR BAGAN | Age | 8 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 22 KG |
| Pulse Rate | / min | Height | 115 cm BMI: 16.635161 |
| Diagnosis | |||