Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11345 | Date 27/07/2022 |
| Token No | SM/22-23/15097 27/07/2022 | Serial | 034 Last Visit: 27/07/2022 |
| Patient Name | Mrs. NASIRA BIBI | Contact No | 8017323649 |
| Address | 10 MUSALMAN PARA LANE,SERAMPORE | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||