Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15344 | Date 22/05/2025 |
| Token No | SM/25-26/1627 22/05/2025 | Serial | 031 Last Visit: 22/05/2025 |
| Patient Name | Mrs. MARIA KHATUN | Contact No | |
| Address | SERAMPORE | Age | 16 Years,4 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||