Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15374 | Date 24/05/2025 |
| Token No | SM/25-26/3524 14/07/2025 | Serial | 006 Last Visit: 14/07/2025 |
| Patient Name | Mrs. SHIPRA CHAKRABORTTY | Contact No | |
| Address | serampore | Age | 51 Years,5 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||