Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10503 | Date 05/01/2022 |
| Token No | SM/21-22/8536 05/01/2022 | Serial | 048 Last Visit: 05/01/2022 |
| Patient Name | Miss SULTANA KHATOON | Contact No | 8777869445 |
| Address | 36/A MUSHALMAN PARABYE LANE SERAMPORE | Age | 5 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | 112 cm BMI: 15.943878 |
| Diagnosis | |||