Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15863 | Date 07/08/2025 |
| Token No | SM/25-26/4650 07/08/2025 | Serial | 054 Last Visit: 07/08/2025 |
| Patient Name | Miss RANU CHAKRABORTY | Contact No | 7449926403 |
| Address | GODAR BAGAN BYE LANE CHATRA, BAIDYABATI (M) | Age | 25 Years,5 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||