Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16352 | Date 10/12/2025 |
| Token No | SM/25-26/8729 10/12/2025 | Serial | 013 Last Visit: 10/12/2025 |
| Patient Name | Mrs. SUSMITA DEY | Contact No | |
| Address | SERAMPORE | Age | 21 Years,0 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||