Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11700 | Date 23/11/2022 |
| Token No | SM/22-23/18170 23/11/2022 | Serial | 017 Last Visit: 15/02/2023 |
| Patient Name | Mrs. HASINA KHATUN HALDAR | Contact No | 7908999064 |
| Address | 12/E/1/A A B SARANI SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | 148.4 cm BMI: 24.974390 |
| Diagnosis | |||