Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11016 | Date 18/05/2022 |
| Token No | SM/22-23/12563 18/05/2022 | Serial | 002 Last Visit: 15/07/2022 |
| Patient Name | Mrs. SOFIA KHATOON | Contact No | 7890736363 |
| Address | 6 T.C.GOSWAMI STREET | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | 160.9 cm BMI: 22.017234 |
| Diagnosis | |||