Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16266 | Date 13/11/2025 |
| Token No | SM/25-26/7937 13/11/2025 | Serial | 026 Last Visit: 13/11/2025 |
| Patient Name | Mrs. SUMITA GANGULY | Contact No | |
| Address | CHANDITALA | Age | 54 Years,10 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||