Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11392 | Date 04/08/2022 |
| Token No | SM/22-23/30173 11/03/2024 | Serial | 070 Last Visit: 28/03/2024 |
| Patient Name | Mrs. MOMOTA HENA BEGUM | Contact No | 7596940233 |
| Address | 3 MUSALMAN PARA BYE LANE | Age | 37 Years,4 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 78.2 KG |
| Pulse Rate | / min | Height | 153 cm BMI: 33.405955 |
| Diagnosis | |||