Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04961 | Date 29/04/2019 |
| Token No | SM/25-26/8097 19/11/2025 | Serial | 003 Last Visit: 19/11/2025 |
| Patient Name | Mrs. MALA DEY | Contact No | |
| Address | serampore | Age | 25 Years,9 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||