Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 17189 | Date 27/08/2026 |
| Token No | SM/25-26/14389 27/08/2026 at 10:14 | Serial | 007 Last Visit: 27/08/2026 |
| Patient Name | Mrs. NAMITA DAS | Contact No | 9830694526 |
| Address | 9/E DHARMATALA LANE SERAMPORE | Age | 61 Years,7 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | 150.5 cm BMI: 24.282293 |
| Diagnosis | |||