Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16008 | Date 08/09/2025 |
| Token No | SM/25-26/5811 08/09/2025 | Serial | 002 Last Visit: 08/09/2025 |
| Patient Name | Mrs. TANU SAMONTTA | Contact No | |
| Address | SERAMPORE | Age | 19 Years,5 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||