Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16084 | Date 23/09/2025 |
| Token No | SM/25-26/6423 23/09/2025 | Serial | 033 Last Visit: 23/09/2025 |
| Patient Name | Miss SABNAM KHATOON | Contact No | 9339084008 |
| Address | LAKHI PALI MOR | Age | 12 Years,8 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||