Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16141 | Date 09/10/2025 |
| Token No | SM/25-26/6741 09/10/2025 | Serial | 001 Last Visit: 09/10/2025 |
| Patient Name | Mrs. RIYANKA MITRA | Contact No | |
| Address | SERAMPORE | Age | 27 Years,7 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||