Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11376 | Date 30/07/2022 |
| Token No | SM/22-23/15249 30/07/2022 | Serial | 047 Last Visit: 30/07/2022 |
| Patient Name | Mrs. ASHORA KHATOON | Contact No | 810048380 |
| Address | 13/1, DR. NOORI LANE NO-1 CHAMPDANI(M) | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | 150.2 cm BMI: 24.822651 |
| Diagnosis | |||