Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10526 | Date 08/01/2022 |
| Token No | SM/21-22/8673 08/01/2022 | Serial | 004 Last Visit: 08/01/2022 |
| Patient Name | Mrs. SAIRA BIBI | Contact No | 9330987538 |
| Address | 17/2/A/2 MUSALMAN PARA BYE LANE CHATRA SERAMPORE | Age | 56 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 154.5 cm BMI: 25.135891 |
| Diagnosis | |||