Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 12138 | Date 06/06/2023 |
| Token No | SM/22-23/22014 06/06/2023 | Serial | 008 Last Visit: 06/06/2023 |
| Patient Name | Mrs. NASRIN JAHAN | Contact No | 9883306261 |
| Address | 40 PANCHU GOPAL BHADURI SARANI SERAMPORE | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | 150 cm BMI: 20.444444 |
| Diagnosis | |||