Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16076 | Date 19/09/2025 |
| Token No | SM/25-26/6272 19/09/2025 | Serial | 003 Last Visit: 19/09/2025 |
| Patient Name | Mrs. RUPALI GUHA ROY | Contact No | 9831878150 |
| Address | NOUGA | Age | 61 Years,8 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 165/100 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||