Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11669 | Date 12/11/2022 |
| Token No | SM/22-23/18746 10/12/2022 | Serial | 025 Last Visit: 29/12/2022 |
| Patient Name | Mrs. ROJINA MONDAL | Contact No | 8100256708 |
| Address | 3/A MUSALMAN PARA BYE LANE | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | 147.5 cm BMI: 20.224074 |
| Diagnosis | |||