Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11806 | Date 23/12/2022 |
| Token No | SM/22-23/19179 23/12/2022 | Serial | 024 Last Visit: 23/12/2022 |
| Patient Name | Miss SANIA KHATUN | Contact No | 8420114496 |
| Address | 38 SK NAGAR NEAR STUDIO TASVEER NAYA BASTI RISHRA | Age | 6 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 19 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||