Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10604 | Date 25/01/2022 |
| Token No | SM/21-22/9305 25/01/2022 | Serial | 010 Last Visit: 25/01/2022 |
| Patient Name | Mrs. AFSANA KHATOON | Contact No | 9330635984 |
| Address | 29,CHATRA MUSHALMAN PARA BYE LANE | Age | 11 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | 123 cm BMI: 26.439289 |
| Diagnosis | |||