Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10959 | Date 25/04/2022 |
| Token No | SM/22-23/11996 25/04/2022 | Serial | 024 Last Visit: 25/04/2022 |
| Patient Name | Mrs. JYOTSNA BIBI | Contact No | 7980505039 |
| Address | 28/A CHATRA MUSALMAN PARA BUE LANE SERAMPORE | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 152.5 cm BMI: 21.499597 |
| Diagnosis | |||