Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15652 | Date 04/07/2025 |
| Token No | SM/25-26/3204 04/07/2025 | Serial | 003 Last Visit: 04/07/2025 |
| Patient Name | Mrs. SAMAPTI DAS | Contact No | |
| Address | SERAMPORE | Age | 24 Years,2 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||