Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16055 | Date 13/09/2025 |
| Token No | SM/25-26/6140 13/09/2025 | Serial | 013 Last Visit: 13/09/2025 |
| Patient Name | Mrs. ANIKSA MAHATO | Contact No | |
| Address | SERAMPORE | Age | 14 Years,5 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||