Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 11045 | Date 25/05/2022 |
| Token No | SM/22-23/12909 26/05/2022 | Serial | 015 Last Visit: 02/06/2022 |
| Patient Name | Mrs. JULY BIBI KHATUN | Contact No | 8017977585 |
| Address | 110, KAZIPARA BAIDYABATI (M) | Age | 35 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | 157.7 cm BMI: 22.115629 |
| Diagnosis | |||