Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15777 | Date 28/07/2025 |
| Token No | SM/25-26/5753 06/09/2025 | Serial | 014 Last Visit: 06/09/2025 |
| Patient Name | Mrs. SATABDI CHANDA | Contact No | |
| Address | 7NO CHOWDHRY PARA | Age | 32 Years,6 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||