Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 16373 | Date 17/12/2025 |
| Token No | SM/25-26/8856 17/12/2025 | Serial | 018 Last Visit: 29/12/2025 |
| Patient Name | Mrs. MANJU SHA | Contact No | 6289621783 |
| Address | 2 MAYDA PATTY LANE SERAMPORE | Age | 44 Years,11 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||