Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12020 | Date 05/04/2023 |
| Token No | SM/22-23/20995 05/04/2023 | Serial | 003 Last Visit: 24/04/2024 |
| Patient Name | Mrs. RANI BIBI | Contact No | 8100230132 |
| Address | CHATRA MUSALMAN PARA | Age | 23 Years,7 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||