Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01772 | Date 30/10/2018 |
| Token No | SM/25-26/14385 27/08/2026 at 10:09 | Serial | 003 Last Visit: 27/08/2026 |
| Patient Name | Mrs. HIRA DUTTA | Contact No | 8017172804 |
| Address | 87/82 CHATRA SHITLATALA, BAIDYABATI (M) | Age | 53 Years,7 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/94 mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: |
| Diagnosis | |||