Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11530 | Date 05/09/2022 |
| Token No | SM/22-23/16489 08/09/2022 | Serial | 031 Last Visit: 09/07/2025 |
| Patient Name | Mrs. GURIA KHATOON | Contact No | 6289791897 |
| Address | 14 NO PARSHI LANE,SERAMPORE,712201 | Age | 28 Years,1 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||