Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15967 | Date 30/08/2025 |
| Token No | SM/25-26/5466 30/08/2025 | Serial | 020 Last Visit: 30/08/2025 |
| Patient Name | Miss ESITA GHOSH | Contact No | |
| Address | SERAMPORE | Age | 25 Years,0 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||