Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 15315 | Date 17/05/2025 |
| Token No | SM/25-26/3580 14/07/2025 | Serial | 062 Last Visit: 08/09/2025 |
| Patient Name | Mrs. GULABSHAH KHATOON | Contact No | 8240712938 |
| Address | 4 NO SERAMPORE ROY GHAT LANE | Age | 23 Years,3 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50.8 KG |
| Pulse Rate | / min | Height | 156.5 cm BMI: 20.741255 |
| Diagnosis | |||