Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13087 | Date 06/01/2024 |
| Token No | SM/22-23/28498 29/01/2024 | Serial | 056 Last Visit: 09/09/2024 |
| Patient Name | Mrs. NAZMA KHATOON | Contact No | 8100230132 |
| Address | CHATRA MUSALMAN PARA | Age | 16 Years,10 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||