Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 17167 | Date 24/08/2026 |
| Token No | SM/25-26/14436 27/08/2026 at 11:16 | Serial | 054 Last Visit: 27/08/2026 |
| Patient Name | Mrs. SOMA RUDRA | Contact No | 9681456775 |
| Address | 1/A S.C.CHATTERJEE SARANI | Age | 37 Years,3 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: |
| Diagnosis | |||