Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15889 | Date 11/08/2025 |
| Token No | SM/25-26/4796 11/08/2025 | Serial | 071 Last Visit: 11/08/2025 |
| Patient Name | Miss NASEMA KHATOON | Contact No | 9674232745 |
| Address | 21 MUSALMAN PARA BYE LANE | Age | 13 Years,7 Months,30 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 29.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||