Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 16204 | Date 28/10/2025 |
| Token No | SM/25-26/7321 28/10/2025 | Serial | 004 Last Visit: 28/10/2025 |
| Patient Name | Mrs. ANJALI GHOSH | Contact No | |
| Address | 13 P. N. CHAKRABORTY LANE | Age | 61 Years,9 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 93/58 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||