Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 10718 | Date 24/02/2022 |
| Token No | SM/21-22/10207 24/02/2022 | Serial | 010 Last Visit: 01/06/2022 |
| Patient Name | Mrs. PINKI KHATUN | Contact No | 7003371552 |
| Address | 88 MIYAJAN DARJILANE MALLICKPARA SERAMPORE M | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | 148.5 cm BMI: 24.487297 |
| Diagnosis | |||