Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11426 | Date 12/08/2022 |
| Token No | SM/22-23/15667 12/08/2022 | Serial | 037 Last Visit: 12/08/2022 |
| Patient Name | Mrs. JANAKI CHOWDHURY | Contact No | |
| Address | TARA PUKUR GOVT QUATER | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||