Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 15147 | Date 20/03/2025 |
| Token No | SM/24-25/44031 20/03/2025 | Serial | 004 Last Visit: 20/03/2025 |
| Patient Name | Mrs. PREMLATA SHA | Contact No | |
| Address | SERAMPORE | Age | 55 Years,1 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||