Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09556 | Date 30/04/2021 |
| Token No | SM/22-23/26088 09/11/2023 | Serial | 006 Last Visit: 11/12/2025 |
| Patient Name | Mrs. DIL SHAD BANO | Contact No | 9123612310 |
| Address | CHATRA MUSHAL MAN PARA SERAMPORE | Age | 33 Years,11 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 96/60 mmHg | Weight | 38.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||