Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09974 | Date 23/08/2021 |
| Token No | SM/25-26/15871 26/10/2026 at 12:36 | Serial | 050 Last Visit: 26/10/2026 |
| Patient Name | Mrs. NURJAHAN BIBI | Contact No | 9088697752 |
| Address | 30/A CHATRA MUSALMAN PARA , SERAMPORE | Age | 34 Years,2 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 136/75 mmHg | Weight | 89 KG |
| Pulse Rate | / min | Height | 143.5 cm BMI: 43.220144 |
| Diagnosis | |||