Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12990 | Date 20/12/2023 |
| Token No | SM/25-26/1533 20/05/2025 | Serial | 013 Last Visit: 19/09/2025 |
| Patient Name | Miss PRIYANKA DAS | Contact No | |
| Address | BARUI PARA SHIBTALA , HOOGHLY | Age | 25 Years,4 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||