Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12340 | Date 18/08/2023 |
| Token No | SM/25-26/3077 30/06/2025 | Serial | 033 Last Visit: 10/11/2025 |
| Patient Name | Mrs. NAFSA PARWEEN | Contact No | 8777458967 |
| Address | 25/C KANAI DEWAN TALA LANE SERAMPORE | Age | 19 Years,3 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43.9 KG |
| Pulse Rate | / min | Height | 152.5 cm BMI: 18.876646 |
| Diagnosis | |||