Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 16371 | Date 17/12/2025 |
| Token No | SM/25-26/8847 17/12/2025 | Serial | 009 Last Visit: 17/12/2025 |
| Patient Name | Miss PINKI MUKHERJEE | Contact No | 9330553207 |
| Address | CHATRA CHOWDHURY PARA | Age | 47 Years,11 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||