Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11795 | Date 21/12/2022 |
| Token No | SM/22-23/20288 20/02/2023 | Serial | 011 Last Visit: 09/03/2023 |
| Patient Name | Mrs. SAIMA KHATUN | Contact No | 9330624563 |
| Address | 12/A MUSALMAN PARA BYE LANE SERAMPORE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | 154 cm BMI: 18.974532 |
| Diagnosis | |||