Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11116 | Date 11/06/2022 |
| Token No | SM/22-23/13460 11/06/2022 | Serial | 020 Last Visit: 28/08/2025 |
| Patient Name | Mrs. SABANA KHATUN | Contact No | 9330827964 |
| Address | 7 ARABINDA SARANI SERAMPORE | Age | 20 Years,11 Months,22 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 161.5 cm BMI: 19.170125 |
| Diagnosis | |||