Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12521 | Date 26/09/2023 |
| Token No | SM/24-25/36772 04/09/2024 | Serial | 012 Last Visit: 29/01/2025 |
| Patient Name | Mrs. TUKTUKI BEGUM | Contact No | 8858861995 |
| Address | 33 CHATRA MUSALMAN PARA SERAMPORE | Age | 29 Years,10 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51.1 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||