Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02316 | Date 03/12/2018 |
| Token No | SM/25-26/6542 25/09/2025 | Serial | 025 Last Visit: 25/09/2025 |
| Patient Name | Baby AYASHA KHATUN | Contact No | |
| Address | SERAMPORE | Age | 25 Years,0 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||