Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10187 | Date 07/10/2021 |
| Token No | SM/21-22/5875 07/10/2021 | Serial | 058 Last Visit: 13/10/2025 |
| Patient Name | Mrs. ARATI RAM | Contact No | 8697040463 |
| Address | 10 MAHATMA GANDHI ROAD SERAMPORE | Age | 42 Years,9 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||