Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15687 | Date 14/07/2025 |
| Token No | SM/25-26/5057 20/08/2025 | Serial | 018 Last Visit: 20/08/2025 |
| Patient Name | Miss KHAYALI BISWAS | Contact No | |
| Address | SERAMPORE | Age | 29 Years,0 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||