Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 10542 | Date 11/01/2022 |
| Token No | SM/21-22/8826 11/01/2022 | Serial | 017 Last Visit: 11/01/2022 |
| Patient Name | Mrs. RASHONARA BEGAM | Contact No | |
| Address | 26/A MIYAZAN DARJI LANE SERAMPORE | Age | 44 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 165 cm BMI: 22.038567 |
| Diagnosis | |||