Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01727 | Date 27/10/2018 |
| Token No | SM/22-23/11710 13/04/2022 | Serial | 025 Last Visit: 13/04/2022 |
| Patient Name | Mrs. SANJIDA BIBI | Contact No | |
| Address | CHATRA MUSALMAN PARA | Age | 30YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||