Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10715 | Date 23/02/2022 |
| Token No | SM/22-23/16160 30/08/2022 | Serial | 023 Last Visit: 30/08/2022 |
| Patient Name | Mrs. MABIYA BEGAM | Contact No | 7003328443 |
| Address | 5 BARIN GHOSH LANE | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 153.5 cm BMI: 21.220384 |
| Diagnosis | |||