Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15190 | Date 05/04/2025 |
| Token No | SM/25-26/3335 09/07/2025 | Serial | 010 Last Visit: 18/09/2025 |
| Patient Name | Mrs. INSURA BEGAM | Contact No | 6291275234 |
| Address | 8 NO ARABINDA SARANI SERAMPORE | Age | 19 Years,4 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 116/67 mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | 145 cm BMI: 21.878716 |
| Diagnosis | |||