Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10711 | Date 23/02/2022 |
| Token No | SM/21-22/10158 23/02/2022 | Serial | 009 Last Visit: 23/02/2022 |
| Patient Name | Mrs. ANSAR ALI | Contact No | 9088698935 |
| Address | 4/A K.M BHATTACHARJEE STREET SERAMPORE | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | 157.5 cm BMI: 21.768707 |
| Diagnosis | |||