Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 15675 | Date 11/07/2025 |
| Token No | SM/25-26/3408 11/07/2025 | Serial | 033 Last Visit: 15/10/2025 |
| Patient Name | Mrs. ANJU KURMI | Contact No | 9163119778 |
| Address | 12 NO BAZAR BYE LANE SERAMPORE | Age | 43 Years,9 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/92 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||