Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12307 | Date 03/08/2023 |
| Token No | SM/24-25/38361 19/10/2024 | Serial | 041 Last Visit: 23/07/2025 |
| Patient Name | Miss AHANA LAHA | Contact No | 7980775387 |
| Address | 32C CHOUDHURY PARA SERAMPORE | Age | 19 Years,5 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||