Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 16207 | Date 28/10/2025 |
| Token No | SM/25-26/7335 28/10/2025 | Serial | 018 Last Visit: 28/10/2025 |
| Patient Name | Mrs. MINATI DAS | Contact No | 7044103490 |
| Address | 30 S.C CHATTERJEE | Age | 49 Years,9 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||