Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11276 | Date 15/07/2022 |
| Token No | SM/22-23/14665 15/07/2022 | Serial | 047 Last Visit: 15/07/2022 |
| Patient Name | Mrs. HASINA KHATUN | Contact No | 9163245484 |
| Address | 21 MUSALMAN PARA LANE SERAMPORE | Age | 57 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | 147.5 cm BMI: 19.304797 |
| Diagnosis | |||