Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15813 | Date 01/08/2025 |
| Token No | SM/25-26/5272 26/08/2025 | Serial | 001 Last Visit: 03/09/2025 |
| Patient Name | Miss SANGITA GHOSH | Contact No | |
| Address | SERAMPORE CHATRA | Age | 25 Years,1 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||