Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13689 | Date 13/05/2024 |
| Token No | SM/24-25/32473 13/05/2024 | Serial | 061 Last Visit: 19/11/2025 |
| Patient Name | Mrs. NILIMA DEY | Contact No | |
| Address | SERAMPORE | Age | 21 Years,7 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||