Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15254 | Date 03/05/2025 |
| Token No | SM/25-26/964 03/05/2025 | Serial | 005 Last Visit: 03/05/2025 |
| Patient Name | Mrs. PIYALI BARMAN | Contact No | |
| Address | SERAMPORE CHATRA | Age | 26 Years,4 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||