Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13859 | Date 12/06/2024 |
| Token No | SM/24-25/33575 12/06/2024 | Serial | 020 Last Visit: 12/07/2025 |
| Patient Name | Mrs. PUJA DUTTA | Contact No | |
| Address | SERAMPORE | Age | 18 Years,3 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||