Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 16216 | Date 01/11/2025 |
| Token No | SM/25-26/8583 04/12/2025 | Serial | 029 Last Visit: 04/12/2025 |
| Patient Name | Mrs. MOSAMMAT RUKSANA | Contact No | 8240196073 |
| Address | 32 MUSALMAN PARA BYE LANE,SHEORAPHULLY | Age | 26 Years,8 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 68.9 KG |
| Pulse Rate | / min | Height | 152 cm BMI: 29.821676 |
| Diagnosis | |||