Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10878 | Date 05/04/2022 |
| Token No | SM/22-23/11409 05/04/2022 | Serial | 017 Last Visit: 05/04/2022 |
| Patient Name | Mrs. NASRIN KHATOON | Contact No | 7003681510 |
| Address | 7 ARABINDA SARANI SERAMPORE(M) | Age | 20 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | 154.3 cm BMI: 0.000000 |
| Diagnosis | |||