Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15804 | Date 31/07/2025 |
| Token No | SM/25-26/4321 31/07/2025 | Serial | 003 Last Visit: 31/07/2025 |
| Patient Name | Mrs. RIMA GHOSH | Contact No | 8001287419 |
| Address | ASTAI,PURBA BARDHAMAN | Age | 40 Years,4 Months,27 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||