Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15880 | Date 11/08/2025 |
| Token No | SM/25-26/4732 11/08/2025 | Serial | 007 Last Visit: 11/08/2025 |
| Patient Name | Mrs. PUSHPA DEY | Contact No | |
| Address | SEERAMPORE | Age | 23 Years,6 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||