Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 10800 | Date 14/03/2022 |
| Token No | SM/21-22/10774 14/03/2022 | Serial | 033 Last Visit: 14/03/2022 |
| Patient Name | Mrs. KARINA KHATUN | Contact No | 6291336680 |
| Address | 21 NO MUSALMAN PARA SERAMPORE | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 147 cm BMI: 27.766209 |
| Diagnosis | |||