Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15726 | Date 21/07/2025 |
| Token No | SM/25-26/8203 21/11/2025 | Serial | 021 Last Visit: 21/11/2025 |
| Patient Name | Mrs. ROOKSANA KHATUN | Contact No | 8274891862 |
| Address | 22 NO KUMOR PARA LANE CHATRA SERAMPORE | Age | 22 Years,0 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56.5 KG |
| Pulse Rate | / min | Height | 143.4 cm BMI: 27.475787 |
| Diagnosis | |||