Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 16228 | Date 03/11/2025 |
| Token No | SM/25-26/7650 06/11/2025 | Serial | 041 Last Visit: 06/11/2025 |
| Patient Name | Mrs. BAISAKHI MONDAL | Contact No | 7003924521 |
| Address | P N MUKHERJEE STREET | Age | 22 Years,5 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||