Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15070 | Date 03/03/2025 |
| Token No | SM/25-26/4734 11/08/2025 | Serial | 009 Last Visit: 11/08/2025 |
| Patient Name | Mrs. SIMA KHATUN | Contact No | 9123619817 |
| Address | 19 NO CHATRA KANAI DEWAN TALA BAY LANE SERAMPORE | Age | 34 Years,3 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 64.6 KG |
| Pulse Rate | / min | Height | 146.5 cm BMI: 30.099361 |
| Diagnosis | |||