Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16070 | Date 18/09/2025 |
| Token No | SM/25-26/6235 18/09/2025 | Serial | 009 Last Visit: 18/09/2025 |
| Patient Name | Mrs. BARNA PANDIT | Contact No | |
| Address | SERAMPORE | Age | 20 Years,6 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||