Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12133 | Date 05/06/2023 |
| Token No | SM/22-23/21995 05/06/2023 | Serial | 015 Last Visit: 05/06/2023 |
| Patient Name | Mrs. SALMA BEGUM | Contact No | 9748493051 |
| Address | 16/B KUMAR PARA LANE CHATRA SERAMPORE | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 81.3 KG |
| Pulse Rate | / min | Height | 159 cm BMI: 32.158538 |
| Diagnosis | |||