Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 16066 | Date 16/09/2025 |
| Token No | SM/25-26/6217 16/09/2025 | Serial | 001 Last Visit: 16/09/2025 |
| Patient Name | Mrs. ANJALI DUTTA | Contact No | 6290448110 |
| Address | CHAMPATALA LANE,SERAMPORE | Age | 34 Years,11 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||