Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 16245 | Date 06/11/2025 |
| Token No | SM/25-26/7640 06/11/2025 | Serial | 031 Last Visit: 06/11/2025 |
| Patient Name | Miss PARAMITA KAR | Contact No | 8100538165 |
| Address | 27 TELIPARA CHATRA BAIDYABATI | Age | 21 Years,10 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||