Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15559 | Date 16/06/2025 |
| Token No | SM/25-26/2563 16/06/2025 | Serial | 002 Last Visit: 16/06/2025 |
| Patient Name | Mrs. BHAGABATI KUMAR | Contact No | 947713659 |
| Address | KHAJURDAHA,HOOGHLY | Age | 70 Years,3 Months,9 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||