Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12314 | Date 04/08/2023 |
| Token No | SM/22-23/23384 04/08/2023 | Serial | 029 Last Visit: 30/11/2023 |
| Patient Name | Mrs. MAMTAJ BAGUM | Contact No | 9088399717 |
| Address | 48 CHATRA MUSALMAN PARA ROAD SERAMPORE | Age | 32 Years,1 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58.6 KG |
| Pulse Rate | / min | Height | 147.5 cm BMI: 26.934789 |
| Diagnosis | |||