Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14350 | Date 04/10/2024 |
| Token No | SM/24-25/37953 04/10/2024 | Serial | 057 Last Visit: 06/06/2025 |
| Patient Name | Mrs. SALEMA BEGAM | Contact No | 9143655009 |
| Address | 21 KANAI DEWAN TALA BYE LANE SERAMPORE | Age | 37 Years,0 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61.6 KG |
| Pulse Rate | / min | Height | 155 cm BMI: 25.639958 |
| Diagnosis | |||