Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 16346 | Date 06/12/2025 |
| Token No | SM/25-26/8632 06/12/2025 | Serial | 029 Last Visit: 06/12/2025 |
| Patient Name | Mrs. SHANTIMAYI BAG | Contact No | 8902601348 |
| Address | 13 GHOSHPARA 1ST LANE | Age | 65 Years,11 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||