Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10923 | Date 13/04/2022 |
| Token No | SM/22-23/14198 30/06/2022 | Serial | 033 Last Visit: 30/06/2022 |
| Patient Name | Mrs. ROYESA BIBI | Contact No | 8617716366 |
| Address | 11 MUSALMANPARA BYE LANE CHATRA SERAMPORE | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | 155.8 cm BMI: 28.425897 |
| Diagnosis | |||