Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 14034 | Date 10/07/2024 |
| Token No | SM/24-25/34775 10/07/2024 | Serial | 042 Last Visit: 10/02/2025 |
| Patient Name | Mrs. ANITA SHAW | Contact No | |
| Address | 37/A L B S ROAD SERAMPORE | Age | 49 Years,1 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||