Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10128 | Date 24/09/2021 |
| Token No | SM/21-22/8046 23/12/2021 | Serial | 027 Last Visit: 23/12/2021 |
| Patient Name | Mrs. NUR AYESHA BIBI | Contact No | 8583089261 |
| Address | 3/A MUSALMAN PARA BYE LANE SERAMPORE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | 149.2 cm BMI: 20.664276 |
| Diagnosis | |||