Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07442 | Date 28/01/2020 |
| Token No | SM/24-25/34965 18/07/2024 | Serial | 010 Last Visit: 08/12/2025 |
| Patient Name | Mrs. RIJIYA KHATUN | Contact No | 8759630630 |
| Address | 31A CHATRA MUSALMAN PARA LANE SERAMPORE | Age | 56 Years,11 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62.5 KG |
| Pulse Rate | / min | Height | 157 cm BMI: 25.355998 |
| Diagnosis | |||