Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 16063 | Date 15/09/2025 |
| Token No | SM/25-26/6201 15/09/2025 | Serial | 023 Last Visit: 01/12/2025 |
| Patient Name | Mrs. PAMELA DAS | Contact No | 9007014119 |
| Address | 29/F S.C. CHATTERJEE SARANI | Age | 22 Years,10 Months,21 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||