Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11466 | Date 22/08/2022 |
| Token No | SM/22-23/15906 22/08/2022 | Serial | 016 Last Visit: 16/01/2023 |
| Patient Name | Mrs. RUKSAR BEGAM | Contact No | 8240289541 |
| Address | 12 NO CHATRA MUSALMAN PARA BYE LANE SERAMPORE | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | 147.3 cm BMI: 18.435482 |
| Diagnosis | |||