Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11658 | Date 09/11/2022 |
| Token No | SM/22-23/17757 09/11/2022 | Serial | 026 Last Visit: 09/11/2022 |
| Patient Name | Mrs. SALAMA KHATUN | Contact No | 9874407704 |
| Address | 20 PARSHI LANE SERAMPORE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | 155 cm BMI: 25.806452 |
| Diagnosis | |||