Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15548 | Date 14/06/2025 |
| Token No | SM/25-26/4968 18/08/2025 | Serial | 025 Last Visit: 16/10/2025 |
| Patient Name | Mrs. SUMA KHATOON | Contact No | 6291779865 |
| Address | 49 MUSALMAN PARA LANE | Age | 16 Years,8 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | 152.5 cm BMI: 24.509540 |
| Diagnosis | |||