Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10850 | Date 29/03/2022 |
| Token No | SM/25-26/4376 01/08/2025 | Serial | 024 Last Visit: 16/10/2025 |
| Patient Name | Mrs. SUMITA DUTTA | Contact No | |
| Address | SERAMPORE CHATRA | Age | 28 Years,2 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||