Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 16196 | Date 22/10/2025 |
| Token No | SM/25-26/7381 29/10/2025 | Serial | 029 Last Visit: 01/12/2025 |
| Patient Name | Mrs. FATMA KHATOON | Contact No | 9123353901 |
| Address | 7/F ARABINDA SARANI SERAMPORE | Age | 27 Years,11 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | 153.5 cm BMI: 19.522754 |
| Diagnosis | |||