Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11949 | Date 02/03/2023 |
| Token No | SM/22-23/20377 02/03/2023 | Serial | 024 Last Visit: 02/03/2023 |
| Patient Name | Mrs. MUSKAN KHATOON | Contact No | 9839226674 |
| Address | CHATRA MUSALMAN PARA | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||