Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15555 | Date 14/06/2025 |
| Token No | SM/25-26/2526 14/06/2025 | Serial | 017 Last Visit: 29/11/2025 |
| Patient Name | Mrs. SUPARNA PATRA | Contact No | |
| Address | SERAMPORE | Age | 18 Years,9 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||