Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 16169 | Date 13/10/2025 |
| Token No | SM/25-26/6943 13/10/2025 | Serial | 030 Last Visit: 13/10/2025 |
| Patient Name | Mrs. AZHARNISSA | Contact No | 9875653603 |
| Address | 25/C KANAI DEWAN TALA LANE SERAMPORE | Age | 34 Years,4 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 77.2 KG |
| Pulse Rate | / min | Height | 158 cm BMI: 30.924531 |
| Diagnosis | |||