Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11107 | Date 09/06/2022 |
| Token No | SM/22-23/13353 09/06/2022 | Serial | 006 Last Visit: 23/06/2022 |
| Patient Name | Mrs. HAZRA KHATUN | Contact No | 9088361766 |
| Address | 12 GOPINATH SAHA STREET | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | 151.4 cm BMI: 30.538401 |
| Diagnosis | |||