Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 12016 | Date 04/04/2023 |
| Token No | SM/22-23/21537 10/05/2023 | Serial | 058 Last Visit: 10/06/2023 |
| Patient Name | Mrs. SHAGUFTA JAHAN | Contact No | 8697821979 |
| Address | 54/A/1/H K M BHATTCHARYA STREET SERAMPORE | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66.7 KG |
| Pulse Rate | / min | Height | 149.2 cm BMI: 29.963200 |
| Diagnosis | |||