Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11653 | Date 07/11/2022 |
| Token No | SM/22-23/17703 07/11/2022 | Serial | 005 Last Visit: 19/08/2023 |
| Patient Name | Mrs. ROBINA KHATUN | Contact No | 9620937098 |
| Address | 5/A/2, MUSALMAN PARA BYE LANE SERAMPORE | Age | 24 Years,4 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | 149 cm BMI: 18.017206 |
| Diagnosis | |||