Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10430 | Date 17/12/2021 |
| Token No | SM/21-22/7859 17/12/2021 | Serial | 015 Last Visit: 17/12/2021 |
| Patient Name | Mrs. YEASHMIN KHATUN | Contact No | 7980535796 |
| Address | 7,ARABINDA SARANI SERAMPORE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | 152 cm BMI: 23.805402 |
| Diagnosis | |||