Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10713 | Date 23/02/2022 |
| Token No | SM/21-22/10162 23/02/2022 | Serial | 013 Last Visit: 23/02/2022 |
| Patient Name | Mrs. SULTANA KHATOON | Contact No | 7026831480 |
| Address | 18/1 CHATRA MUSALMAN PARA BYE LANE, SERAMPORE | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 153.6 cm BMI: 21.192763 |
| Diagnosis | |||