Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12069 | Date 06/05/2023 |
| Token No | SM/22-23/21466 06/05/2023 | Serial | 012 Last Visit: 04/10/2023 |
| Patient Name | Mrs. SABITA MONDAL | Contact No | 8100247225 |
| Address | 24 NATUN BAGAN LANE | Age | 45 Years,9 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36.6 KG |
| Pulse Rate | / min | Height | 147.2 cm BMI: 16.891393 |
| Diagnosis | |||