Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11011 | Date 17/05/2022 |
| Token No | SM/22-23/12524 17/05/2022 | Serial | 034 Last Visit: 18/07/2022 |
| Patient Name | Mrs. HALIMA KHATOON | Contact No | 6290621481 |
| Address | DHANMA TH KAZIPARA BAIDYABATI(M) | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | 153.6 cm BMI: 16.954210 |
| Diagnosis | |||