Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11772 | Date 14/12/2022 |
| Token No | SM/22-23/23826 24/08/2023 | Serial | 002 Last Visit: 10/02/2025 |
| Patient Name | Miss ROUSANI PARWEEN | Contact No | 9073311180 |
| Address | 13 MUSALMAN PARA BYE LANE | Age | 13 Years,1 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 29 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||