Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15814 | Date 01/08/2025 |
| Token No | SM/25-26/4375 01/08/2025 | Serial | 023 Last Visit: 01/08/2025 |
| Patient Name | Mrs. ALO BISWAS | Contact No | 8777851550 |
| Address | RISHRA P T LAHA STREET | Age | 53 Years,0 Months,30 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||