Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 16310 | Date 21/11/2025 |
| Token No | SM/25-26/8218 21/11/2025 | Serial | 036 Last Visit: 21/11/2025 |
| Patient Name | Baby ANAYA PARVEEN | Contact No | |
| Address | MUSALMAN PARA SERAMPORE | Age | 0 Years,8 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||