Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 16369 | Date 17/12/2025 |
| Token No | SM/25-26/8840 17/12/2025 | Serial | 002 Last Visit: 17/12/2025 |
| Patient Name | Mrs. MALATI PAL | Contact No | 9007284438 |
| Address | 36 NO KUMOR PARA LANE CHATRA SERAMPORE | Age | 63 Years,11 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 148/87 mmHg | Weight | KG |
| Pulse Rate | 99 / min | Height | cm BMI: nan |
| Diagnosis | |||