Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 15680 | Date 12/07/2025 |
| Token No | SM/25-26/4903 14/08/2025 | Serial | 031 Last Visit: 24/11/2025 |
| Patient Name | Mrs. RIZWANA KHATOON | Contact No | 9163511913 |
| Address | 5/B PARSHI LANE SERAMPORE | Age | 22 Years,1 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | 152.5 cm BMI: 23.649557 |
| Diagnosis | |||