Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11521 | Date 02/09/2022 |
| Token No | SM/22-23/17571 31/10/2022 | Serial | 010 Last Visit: 14/01/2023 |
| Patient Name | Mrs. TABASUM KHATUN | Contact No | 7980376886 |
| Address | 22/C CHATRA KUMAR PARA LANE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | 153.5 cm BMI: 21.644792 |
| Diagnosis | |||