Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 16263 | Date 13/11/2025 |
| Token No | SM/25-26/8079 17/11/2025 | Serial | 039 Last Visit: 18/12/2025 |
| Patient Name | Mrs. ROUSHAN KHATUN | Contact No | 8777413478 |
| Address | 23 T.P.BHATTACHARIYA STREET SERAMPORE | Age | 29 Years,8 Months,26 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 37.5 KG |
| Pulse Rate | / min | Height | 149.5 cm BMI: 16.778336 |
| Diagnosis | |||