Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 12021 | Date 05/04/2023 |
| Token No | SM/22-23/20996 05/04/2023 | Serial | 004 Last Visit: 05/04/2023 |
| Patient Name | Miss NAZMA KHATOON | Contact No | 9163268980 |
| Address | 38 SK NAGAR RISHRA | Age | 16 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||