Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09556 | Date 30/04/2021 |
| Token No | SM/25-26/2889 25/06/2025 | Serial | 005 Last Visit: 11/12/2025 |
| Patient Name | Mrs. DIL SHAD BANO | Contact No | 9123612310 |
| Address | CHATRA MUSHAL MAN PARA SERAMPORE | Age | 33 Years,11 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43.6 KG |
| Pulse Rate | / min | Height | 145.5 cm BMI: 20.594939 |
| Diagnosis | |||