Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10541 | Date 11/01/2022 |
| Token No | SM/21-22/8817 11/01/2022 | Serial | 008 Last Visit: 11/01/2022 |
| Patient Name | Mrs. ISRAT JAHAN | Contact No | 9123663995 |
| Address | 4NO RAY GHAT SERAMPORE | Age | 32 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53.5 KG |
| Pulse Rate | / min | Height | 150 cm BMI: 23.777778 |
| Diagnosis | |||