Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 15951 | Date 27/08/2025 |
| Token No | SM/25-26/5350 27/08/2025 | Serial | 072 Last Visit: 27/08/2025 |
| Patient Name | Mrs. NAJIYA KHATOON | Contact No | 9038301714 |
| Address | 10,T.C GOSWAMI STREET , SERAMPORE | Age | 19 Years,4 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||