Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 16362 | Date 15/12/2025 |
| Token No | SM/25-26/8828 15/12/2025 | Serial | 008 Last Visit: 22/12/2025 |
| Patient Name | Mrs. SAHIN BANO | Contact No | 7439024620 |
| Address | 5,PARSHI LANE,SERAMPORE,PIN-712201 | Age | 25 Years,0 Months,2 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 70.8 KG |
| Pulse Rate | / min | Height | 160 cm BMI: 27.656250 |
| Diagnosis | |||