Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15888 | Date 11/08/2025 |
| Token No | SM/25-26/4794 11/08/2025 | Serial | 069 Last Visit: 13/09/2025 |
| Patient Name | Mrs. ROXSANA BEGUM | Contact No | 6289242895 |
| Address | 9 ARBINDA SARANI CHATRA SERAMPORE | Age | 34 Years,8 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 44.4 KG |
| Pulse Rate | / min | Height | 153 cm BMI: 18.967064 |
| Diagnosis | |||