Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 15616 | Date 25/06/2025 |
| Token No | SM/25-26/4204 28/07/2025 | Serial | 012 Last Visit: 27/08/2025 |
| Patient Name | Mrs. TABASSUM KHATOON | Contact No | 8910474420 |
| Address | 10 T.C GOSWAMI STREET | Age | 21 Years,9 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49.5 KG |
| Pulse Rate | / min | Height | 147 cm BMI: 22.907122 |
| Diagnosis | |||