Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 17194 | Date 28/08/2026 |
| Token No | SM/25-26/14453 28/08/2026 at 14:02 | Serial | 001 Last Visit: 28/08/2026 |
| Patient Name | Mrs. KAJOL DAS | Contact No | |
| Address | SERAMPORE | Age | 32 Years,0 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: |
| Diagnosis | |||