Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15883 | Date 11/08/2025 |
| Token No | SM/25-26/4771 11/08/2025 | Serial | 046 Last Visit: 11/08/2025 |
| Patient Name | Mrs. CHAYNA PAL | Contact No | 7044628920 |
| Address | 13D KUMOR PARA CHATRA SERAMPORE | Age | 66 Years,9 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||