Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14677 | Date 14/12/2024 |
| Token No | SM/24-25/41385 08/01/2025 | Serial | 005 Last Visit: 08/01/2025 |
| Patient Name | Mrs. ALEYA SARKAR | Contact No | |
| Address | CHINSURAH | Age | 53 Years,8 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||