Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09499 | Date 21/04/2021 |
| Token No | SM/25-26/635 21/04/2025 | Serial | 067 Last Visit: 12/11/2025 |
| Patient Name | Mrs. NABINA THAKUR | Contact No | 7003856876 |
| Address | ROY GHAT SERAMPORE | Age | 47 Years,10 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||