Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 11764 | Date 12/12/2022 |
| Token No | SM/22-23/18795 12/12/2022 | Serial | 029 Last Visit: 10/05/2023 |
| Patient Name | Mrs. MAHJABIN PRAWEEN | Contact No | 8240863401 |
| Address | 12/13 SILLBAGAN,PARSHI LANE | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | 152.6 cm BMI: 19.753714 |
| Diagnosis | |||