Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15653 | Date 04/07/2025 |
| Token No | SM/25-26/3206 04/07/2025 | Serial | 005 Last Visit: 04/08/2025 |
| Patient Name | Mrs. CHUMKI ROY | Contact No | |
| Address | SERAMPORE | Age | 16 Years,2 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||