Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 16363 | Date 15/12/2025 |
| Token No | SM/25-26/8948 22/12/2025 | Serial | 006 Last Visit: 22/12/2025 |
| Patient Name | Mrs. SHAHNAJ KHATOON | Contact No | 8584872535 |
| Address | 16 NO T.C GOSWAMI LANE,SERAMPORE | Age | 25 Years,4 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49.1 KG |
| Pulse Rate | / min | Height | 153 cm BMI: 20.974839 |
| Diagnosis | |||