Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 17119 | Date 10/08/2026 |
| Token No | SM/25-26/14422 27/08/2026 at 10:53 | Serial | 040 Last Visit: 27/08/2026 |
| Patient Name | Mrs. ROSIDA BEGUM | Contact No | 9875435227 |
| Address | 19/C KUMOR PARA LANE CHATRA SERAMPORE | Age | 32 Years,3 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | 151 cm BMI: 28.507522 |
| Diagnosis | |||