Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15695 | Date 16/07/2025 |
| Token No | SM/25-26/7745 08/11/2025 | Serial | 027 Last Visit: 08/11/2025 |
| Patient Name | Mrs. SARINA BEGAM | Contact No | |
| Address | 20 NO KUMOR PARA LANE CHATRA SERAMPORE | Age | 70 Years,10 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 182/80 mmHg | Weight | 53 KG |
| Pulse Rate | 83 / min | Height | 148.5 cm BMI: 24.033829 |
| Diagnosis | |||