Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09069 | Date 08/04/2025 |
| Token No | SM/25-26/415 08/04/2025 | Serial | 041 |
| Patient Name | Mrs. NITA DEY | Contact No | |
| Address | SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||