Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12817 | Date 07/12/2023 |
| Token No | SM/24-25/33069 30/05/2024 | Serial | 065 Last Visit: 11/03/2025 |
| Patient Name | Mrs. DURGA DAS | Contact No | |
| Address | SERAMPORE | Age | 30 Years,2 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||