Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12911 | Date 13/12/2023 |
| Token No | SM/22-23/27127 13/12/2023 | Serial | 038 Last Visit: 10/09/2025 |
| Patient Name | Mrs. SULTANA BEGAM | Contact No | 8910124401 |
| Address | 7C ARBINDA SARANI ROAD SERAMPORE | Age | 54 Years,8 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 133/80 mmHg | Weight | 76.8 KG |
| Pulse Rate | / min | Height | 152 cm BMI: 33.240997 |
| Diagnosis | |||