Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11652 | Date 05/11/2022 |
| Token No | SM/25-26/2521 14/06/2025 | Serial | 012 Last Visit: 13/08/2025 |
| Patient Name | Mrs. SONIYA SINGH | Contact No | 8777738148 |
| Address | 54 MUKHERJEE PARA LANE SERAMPOER | Age | 37 Years,7 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||