Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 16361 | Date 13/12/2025 |
| Token No | SM/25-26/8812 13/12/2025 | Serial | 061 Last Visit: 13/12/2025 |
| Patient Name | Mrs. MALATI DEY | Contact No | 6207263457 |
| Address | RAJA K L GOSWAMI STREET SERAMPORE | Age | 32 Years,6 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||