Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11096 | Date 06/06/2022 |
| Token No | SM/22-23/13256 06/06/2022 | Serial | 025 Last Visit: 06/06/2022 |
| Patient Name | Mrs. SHIKHA KHATOON | Contact No | |
| Address | 3/A CHATRA MUSALMAN PARA | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | 137.5 cm BMI: 23.272727 |
| Diagnosis | |||