Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 13314 | Date 22/02/2024 |
| Token No | SM/24-25/40863 21/12/2024 | Serial | 033 Last Visit: 22/12/2025 |
| Patient Name | Mrs. CHAITALI SINGH | Contact No | 9088723036 |
| Address | 57 MUKHERJEE PARA LANE SERAMPORE | Age | 38 Years,8 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||