Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15156 | Date 20/03/2025 |
| Token No | SM/24-25/44057 20/03/2025 | Serial | 030 Last Visit: 20/03/2025 |
| Patient Name | Mrs. DIMPLE JAISWARA | Contact No | |
| Address | SERAMPORE | Age | 13 Years,0 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||