Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15913 | Date 19/08/2025 |
| Token No | SM/25-26/5027 19/08/2025 | Serial | 001 Last Visit: 19/08/2025 |
| Patient Name | Mrs. SHYANOLI GHOSH | Contact No | 7001483729 |
| Address | BELMURI,HOOGHLY | Age | 40 Years,4 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 105/66 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||