Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11712 | Date 28/11/2022 |
| Token No | SM/22-23/18319 28/11/2022 | Serial | 006 Last Visit: 28/11/2022 |
| Patient Name | Mrs. ANOWARA BIBI | Contact No | 8336076554 |
| Address | 10, MUSALMAN PARA BYE LANE CHATRA SERAMPORE | Age | 65 yrs Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||