Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01805 | Date 31/10/2018 |
| Token No | SM/25-26/2649 17/06/2025 | Serial | 006 Last Visit: 25/07/2025 |
| Patient Name | Mrs. KANIKA DAS | Contact No | |
| Address | SERAMPORE | Age | 18 Years,4 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||