Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12781 | Date 01/12/2023 |
| Token No | SM/22-23/26634 01/12/2023 | Serial | 003 Last Visit: 01/12/2023 |
| Patient Name | Mrs. MANSURA BIBI | Contact No | 7890728153 |
| Address | 29/B NO CHATRA MUSALMAN PARA BYE LANE SERAMPORE | Age | 77 Years,11 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41.3 KG |
| Pulse Rate | / min | Height | 145 cm BMI: 19.643282 |
| Diagnosis | |||