Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 14429 | Date 21/10/2024 |
| Token No | SM/24-25/38375 21/10/2024 | Serial | 010 Last Visit: 23/05/2025 |
| Patient Name | Mr. PRIYA KISKU | Contact No | 7059336799 |
| Address | 3 PARSHI LANE SERAMPORE | Age | 28 Years,2 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||