Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06204 | Date 22/08/2019 |
| Token No | SM/22-23/16077 27/08/2022 | Serial | 056 Last Visit: 29/08/2025 |
| Patient Name | Mrs. NASIMA BIBI | Contact No | 7439100511 |
| Address | 21 MUSALMAN PARA BYE LANE SERAMPORE | Age | 31 Years,2 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | 146 cm BMI: 18.765247 |
| Diagnosis | |||