Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09801 | Date 06/07/2021 |
| Token No | SM/25-26/7920 13/11/2025 | Serial | 009 Last Visit: 13/11/2025 |
| Patient Name | Mrs. NAJEMA BIBI | Contact No | 7059224785 |
| Address | 20,KUMOR PARA LANE CHATRA SERAMPORE | Age | 38 Years,10 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65.9 KG |
| Pulse Rate | / min | Height | 156 cm BMI: 27.079224 |
| Diagnosis | |||