Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15602 | Date 21/06/2025 |
| Token No | SM/25-26/14457 28/08/2026 at 14:39 | Serial | 005 Last Visit: 28/08/2026 |
| Patient Name | Mrs. KHUSBU KHATUN | Contact No | |
| Address | SERAMPORE | Age | 25 Years,2 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: |
| Diagnosis | |||