Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16268 | Date 13/11/2025 |
| Token No | SM/25-26/7943 13/11/2025 | Serial | 032 Last Visit: 13/11/2025 |
| Patient Name | Miss LATIKA DAS | Contact No | |
| Address | SERAMPORE | Age | 25 Years,8 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||