Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16250 | Date 07/11/2025 |
| Token No | SM/25-26/7977 14/11/2025 | Serial | 034 Last Visit: 14/11/2025 |
| Patient Name | Mrs. SHYAMA GHOSH | Contact No | 7278319984 |
| Address | CHOTOBELU BELUMILKI | Age | 42 Years,9 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||