Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12092 | Date 15/05/2023 |
| Token No | SM/22-23/21641 15/05/2023 | Serial | 010 Last Visit: 15/05/2023 |
| Patient Name | Miss RUKSAAR PARVEEN | Contact No | 8240039394 |
| Address | CHATRA KUMOR PARA | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||