Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11982 | Date 18/03/2023 |
| Token No | SM/22-23/21080 10/04/2023 | Serial | 027 Last Visit: 10/05/2023 |
| Patient Name | Mrs. MONIKA CHOWDHURY | Contact No | 9875511897 |
| Address | 4 DR. BAGAN LANE, | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | 148.1 cm BMI: 25.531593 |
| Diagnosis | |||