Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 15770 | Date 28/07/2025 |
| Token No | SM/25-26/5556 01/09/2025 | Serial | 048 Last Visit: 10/11/2025 |
| Patient Name | Mrs. MUSARRAT JAHAN | Contact No | 8910966330 |
| Address | 54/A/1/9 K.M. BHATTACHARJEE STREET SERAMPORE | Age | 25 Years,10 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43.8 KG |
| Pulse Rate | / min | Height | 149.5 cm BMI: 19.597096 |
| Diagnosis | |||