Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15781 | Date 28/07/2025 |
| Token No | SM/25-26/4220 28/07/2025 | Serial | 028 Last Visit: 06/09/2025 |
| Patient Name | Mrs. MOULI MALIK | Contact No | |
| Address | SERAMPORE | Age | 21 Years,5 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||