Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15953 | Date 28/08/2025 |
| Token No | SM/25-26/5378 28/08/2025 | Serial | 025 Last Visit: 18/09/2025 |
| Patient Name | Mrs. GULSANA KHATUN | Contact No | 9296184137 |
| Address | 7/D ARBINDA SARANI CHATRA SERAMPORE | Age | 23 Years,9 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70.2 KG |
| Pulse Rate | / min | Height | 152 cm BMI: 30.384349 |
| Diagnosis | |||