Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12801 | Date 06/12/2023 |
| Token No | SM/22-23/26814 06/12/2023 | Serial | 029 Last Visit: 14/07/2025 |
| Patient Name | Mrs. RESMA BEGUM | Contact No | 9123853401 |
| Address | 53 MUSALMAN PARA ROAD SERAMPORE | Age | 65 Years,6 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||