Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 13779 | Date 30/05/2024 |
| Token No | SM/24-25/33060 30/05/2024 | Serial | 056 Last Visit: 30/05/2024 |
| Patient Name | Miss ZINAT PARVEEN | Contact No | 7890412963 |
| Address | 56 N N ROY STREET | Age | 15 Years,5 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||