Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12958 | Date 18/12/2023 |
| Token No | SM/22-23/27278 18/12/2023 | Serial | 008 Last Visit: 18/12/2023 |
| Patient Name | Mrs. NASHIMA KHATOON | Contact No | 6289040623 |
| Address | 10/C CHATRA MUSALMAN PARA SERAMPORE | Age | 25 Years,9 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||