Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10539 | Date 10/01/2022 |
| Token No | SM/21-22/8786 10/01/2022 | Serial | 068 Last Visit: 10/01/2022 |
| Patient Name | Mrs. SALEHA KHATOON | Contact No | 6289105560 |
| Address | 12,K.M BHATTACHARYA STREET SERAMPORE | Age | 40 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | 148 cm BMI: 25.109569 |
| Diagnosis | |||