Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10531 | Date 10/01/2022 |
| Token No | SM/22-23/12051 28/04/2022 | Serial | 011 Last Visit: 01/06/2022 |
| Patient Name | Mrs. SAMINA BEGUM | Contact No | 9836572163 |
| Address | 20,KANAI DIAN TALA CHATRA | Age | 27 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | 154.6 cm BMI: 23.848215 |
| Diagnosis | |||