Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 15234 | Date 25/04/2025 |
| Token No | SM/25-26/745 25/04/2025 | Serial | 008 Last Visit: 25/04/2025 |
| Patient Name | Mr. NOMAN ANSARI | Contact No | 9123028479 |
| Address | 31 LAL BAHADUR SHASTRI LANE,SERAMPORE | Age | 1 Years,6 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||