Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 14509 | Date 08/11/2024 |
| Token No | SM/24-25/39134 08/11/2024 | Serial | 040 Last Visit: 08/11/2024 |
| Patient Name | Baby ILHAM NABILA | Contact No | 8583927140 |
| Address | 12/13 PARSI LANE | Age | 0 Years,1 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||