Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 13881 | Date 14/06/2024 |
| Token No | SM/24-25/34204 28/06/2024 | Serial | 013 Last Visit: 14/11/2025 |
| Patient Name | Mrs. TAPASI ADHIKARI | Contact No | 9088609485 |
| Address | 5, RAJYADHARPUR GOVT COLONY, SERAMPORE M | Age | 57 Years,7 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||