Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 11222 | Date 04/07/2022 |
| Token No | SM/22-23/14271 04/07/2022 | Serial | 042 Last Visit: 04/07/2022 |
| Patient Name | Mrs. TABASUM KHATUN | Contact No | 7890911708 |
| Address | 19/20 KANHAI DEAWAN TALA LANE, BAIDYABATI (M) | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | 152.5 cm BMI: 31.389411 |
| Diagnosis | |||