Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 15873 | Date 09/08/2025 |
| Token No | SM/25-26/4716 09/08/2025 | Serial | 019 Last Visit: 09/08/2025 |
| Patient Name | Mrs. PINKI DAS | Contact No | 6289426718 |
| Address | NABIN CHAKRABORTY LANE | Age | 22 Years,5 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||