Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10805 | Date 15/03/2022 |
| Token No | SM/22-23/12526 17/05/2022 | Serial | 036 Last Visit: 17/05/2022 |
| Patient Name | Mrs. RASNI BIBI | Contact No | 6290918190 |
| Address | 21NO MUSALMAN PARA SERAMPORE | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | 165.5 cm BMI: 20.080138 |
| Diagnosis | |||