Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11310 | Date 21/07/2022 |
| Token No | SM/22-23/14852 21/07/2022 | Serial | 014 Last Visit: 21/07/2022 |
| Patient Name | Mrs. SAYAFA BIBI | Contact No | 8282880080 |
| Address | 14, PARSHI LANE SERAMPORE | Age | 56 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | 148.3 cm BMI: 26.372159 |
| Diagnosis | |||