Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11015 | Date 18/05/2022 |
| Token No | SM/22-23/12562 18/05/2022 | Serial | 001 Last Visit: 18/05/2022 |
| Patient Name | Mrs. TAMANNA FARHEEN ZAHID HUSSAIN | Contact No | 7449821779 |
| Address | 6 T.C. GOSWAMI STREET | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | 155.3 cm BMI: 17.414314 |
| Diagnosis | |||