Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11014 | Date 17/05/2022 |
| Token No | SM/22-23/12558 17/05/2022 | Serial | 068 Last Visit: 18/07/2023 |
| Patient Name | Mrs. SUMI KHATUN | Contact No | 8617716366 |
| Address | 11 MUSALMANPARA BYE LANE CHATRA SERAMPORE | Age | 19 Years,6 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | 154.9 cm BMI: 17.504369 |
| Diagnosis | |||