Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 15216 | Date 16/04/2025 |
| Token No | SM/25-26/1109 08/05/2025 | Serial | 010 Last Visit: 02/06/2025 |
| Patient Name | Miss BRISTHI PASWAN | Contact No | 8910353736 |
| Address | 13 N N ROY STREET SERAMPORE | Age | 18 Years,0 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||