Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11863 | Date 17/01/2023 |
| Token No | SM/22-23/19814 17/01/2023 | Serial | 050 Last Visit: 17/01/2023 |
| Patient Name | Miss BENERJE PARVIN | Contact No | |
| Address | 14 PARSHI LANE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||