Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15420 | Date 29/05/2025 |
| Token No | SM/25-26/7300 25/10/2025 | Serial | 006 Last Visit: 25/10/2025 |
| Patient Name | Mrs. KRITI CHAKRABORTTY | Contact No | |
| Address | SEWRAMPORE | Age | 6 Years,4 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||