Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12957 | Date 16/12/2023 |
| Token No | SM/25-26/5189 25/08/2025 | Serial | 004 Last Visit: 25/08/2025 |
| Patient Name | Mrs. PUJA DAS | Contact No | |
| Address | serampore | Age | 27 Years,2 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||