Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 10882 | Date 05/04/2022 |
| Token No | SM/22-23/11418 05/04/2022 | Serial | 026 Last Visit: 22/07/2022 |
| Patient Name | Mrs. ZUBAIDA KHATOON | Contact No | 9135187290 |
| Address | 20 NO KANAI DEWAN TALLA LANE SERAMPORE(M) | Age | 35 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | 147.7 cm BMI: 32.087586 |
| Diagnosis | |||