Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00103 | Date 04/08/2018 |
| Token No | SM/21-22/11183 29/03/2022 | Serial | 042 Last Visit: 03/11/2025 |
| Patient Name | Mrs. MOMINA BIBI | Contact No | 7685984573 |
| Address | 5/A/1 MUSALMAN PARA BYE LANE CHATRA SERAMPORE | Age | 42 Years,10 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | 147.1 cm BMI: 25.879905 |
| Diagnosis | |||