Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05545 | Date 24/06/2019 |
| Token No | SM/25-26/14503 29/08/2026 at 11:24 | Serial | 042 Last Visit: 22/08/2026 |
| Patient Name | Mrs. AJMIRA KHATUN | Contact No | 8276065398 |
| Address | 28/A CHATRA MUSALMAN PARA BYE LANE SERAMPORE | Age | 61 Years,7 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34.2 KG |
| Pulse Rate | / min | Height | 139 cm BMI: 17.700947 |
| Diagnosis | |||