Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11630 | Date 17/10/2022 |
| Token No | SM/22-23/17430 17/10/2022 | Serial | 007 Last Visit: 15/02/2023 |
| Patient Name | Mrs. NAGMA KHATUN | Contact No | 8100684305 |
| Address | 5 ARBINDA SARANI CHATRA SERAMPORE | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | 166 cm BMI: 19.596458 |
| Diagnosis | |||