Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10597 | Date 22/01/2022 |
| Token No | SM/24-25/42183 27/01/2025 | Serial | 056 Last Visit: 13/12/2025 |
| Patient Name | Mrs. RAFIKA BEGUM | Contact No | 9051672355 |
| Address | 18,MUSHALMAN PARA BYE LANE | Age | 58 Years,11 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45.5 KG |
| Pulse Rate | / min | Height | 148 cm BMI: 20.772462 |
| Diagnosis | |||