Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10465 | Date 28/12/2021 |
| Token No | SM/21-22/8822 11/01/2022 | Serial | 013 Last Visit: 08/02/2022 |
| Patient Name | Mrs. AISA BANO | Contact No | 8335003347 |
| Address | 13 K. M. BHATTACHARYA STREET | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | 154.7 cm BMI: 16.713960 |
| Diagnosis | |||