Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 16357 | Date 13/12/2025 |
| Token No | SM/25-26/8774 13/12/2025 | Serial | 023 Last Visit: 13/12/2025 |
| Patient Name | Mrs. CHANDRA HARI | Contact No | 7439878756 |
| Address | 4/E BESO HATA LANE SERAMPORE | Age | 37 Years,11 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 118/70 mmHg | Weight | KG |
| Pulse Rate | 74 / min | Height | cm BMI: nan |
| Diagnosis | |||