Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10690 | Date 21/02/2022 |
| Token No | SM/21-22/11000 23/03/2022 | Serial | 006 Last Visit: 11/07/2022 |
| Patient Name | Mrs. ROJINA KHATUN | Contact No | 9593004269 |
| Address | 11 NO MUSALMAN PARA LANE SERAMPORE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||