Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15068 | Date 01/03/2025 |
| Token No | SM/24-25/43434 01/03/2025 | Serial | 007 Last Visit: 01/03/2025 |
| Patient Name | Mrs. AKHI BISWAS | Contact No | |
| Address | BAZAR BYE LANE | Age | 21 Years,2 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||