Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 13012 | Date 22/12/2023 |
| Token No | SM/25-26/7582 04/11/2025 | Serial | 003 Last Visit: 29/11/2025 |
| Patient Name | Miss BARSHA KHAN | Contact No | 6295932645 |
| Address | PN MUKHERJEE STREET SERAMPORE | Age | 26 Years,6 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||