Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 00022 | Date 01/08/2018 |
| Token No | SM/22-23/25190 10/10/2023 | Serial | 045 Last Visit: 26/04/2024 |
| Patient Name | Mrs. SAFINA BIBI | Contact No | |
| Address | CHATRA MUSALMANPARA | Age | 25 Years,3 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||