Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 17275 | Date 14/09/2026 |
| Token No | SM/25-26/15905 28/10/2026 at 10:54 | Serial | 021 Last Visit: 08/10/2026 |
| Patient Name | Mrs. SABINA KHATUN | Contact No | 8617082404 |
| Address | 22/B CHATRA MUSALMAN PARA BYE LANE SERAMPORE | Age | 18 Years,9 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | 147 cm BMI: 19.899116 |
| Diagnosis | |||