Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16376 | Date 17/12/2025 |
| Token No | SM/25-26/8895 17/12/2025 | Serial | 057 Last Visit: 18/12/2025 |
| Patient Name | Baby SAHEBA KHATUN | Contact No | 7439989773 |
| Address | 7 ARBINDA SARANI CHATRA SERAMPORE | Age | 4 Years,8 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||