Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12773 | Date 29/11/2023 |
| Token No | SM/22-23/26570 29/11/2023 | Serial | 030 Last Visit: 30/11/2023 |
| Patient Name | Mrs. ROXSANA BEGUM | Contact No | |
| Address | 9 ARBINDA SARANI CHATRA SERAMPORE | Age | 32 Years,10 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47.2 KG |
| Pulse Rate | / min | Height | 154.5 cm BMI: 19.773568 |
| Diagnosis | |||