Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12836 | Date 08/12/2023 |
| Token No | SM/22-23/28350 24/01/2024 | Serial | 003 Last Visit: 25/07/2025 |
| Patient Name | Mrs. HALIMA BIBI | Contact No | |
| Address | serampore | Age | 21 Years,3 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||