Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11473 | Date 22/08/2022 |
| Token No | SM/22-23/16894 19/09/2022 | Serial | 044 Last Visit: 21/12/2022 |
| Patient Name | Mrs. MOSARAT BIBI | Contact No | 7439132532 |
| Address | 21 MUSALMAN PARA BAI LANE SERAMPORE(M) | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | 162.9 cm BMI: 19.218877 |
| Diagnosis | |||