Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15524 | Date 11/06/2025 |
| Token No | SM/25-26/2355 11/06/2025 | Serial | 012 Last Visit: 11/07/2025 |
| Patient Name | Miss BANDANA DHOWRAH | Contact No | |
| Address | SERAMPORE | Age | 28 Years,3 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||