Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 11111 | Date 09/06/2022 |
| Token No | SM/22-23/13380 09/06/2022 | Serial | 033 Last Visit: 09/06/2022 |
| Patient Name | Mrs. JAYNAB KHATUN | Contact No | 8100296626 |
| Address | 41 K.M. BHATTACHARJEE STREET | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57.5 KG |
| Pulse Rate | / min | Height | 158.5 cm BMI: 22.888077 |
| Diagnosis | |||