Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12015 | Date 04/04/2023 |
| Token No | SM/22-23/22821 12/07/2023 | Serial | 005 Last Visit: 10/11/2025 |
| Patient Name | Mrs. SHABANA KHATOON | Contact No | 7439640126 |
| Address | 7 ARBIND SARANI SERAMPORE | Age | 29 Years,4 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48.9 KG |
| Pulse Rate | / min | Height | 153.4 cm BMI: 20.780603 |
| Diagnosis | |||