Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08589 | Date 27/07/2020 |
| Token No | SM/22-23/14693 16/07/2022 | Serial | 022 Last Visit: 16/07/2022 |
| Patient Name | Miss ASURA KHATUN | Contact No | 7449983889 |
| Address | 4/A MUSALMAN PARA BYE LANE SERAMPORE | Age | 15 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | 155.2 cm BMI: 17.436763 |
| Diagnosis | |||