Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15476 | Date 05/06/2025 |
| Token No | SM/25-26/8317 27/11/2025 | Serial | 004 Last Visit: 27/11/2025 |
| Patient Name | Miss PRITHA GHOSH | Contact No | |
| Address | serampore | Age | 18 Years,7 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||