Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11447 | Date 17/08/2022 |
| Token No | SM/22-23/15788 17/08/2022 | Serial | 003 Last Visit: 03/09/2022 |
| Patient Name | Baby SUJANA NAWAZ | Contact No | 9163336751 |
| Address | SIL BAGAN ,PARSHI LANE | Age | 4 Y 3M Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||