Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 15893 | Date 13/08/2025 |
| Token No | SM/25-26/4945 18/08/2025 | Serial | 002 Last Visit: 17/12/2025 |
| Patient Name | Mrs. SHAHJAHAN KHATOON | Contact No | 7439563887 |
| Address | 24 PARSHI LANE SERAMPORE | Age | 24 Years,8 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58.5 KG |
| Pulse Rate | / min | Height | 152 cm BMI: 25.320291 |
| Diagnosis | |||