Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 16770 | Date 18/05/2026 |
| Token No | SM/25-26/14451 27/08/2026 at 13:08 | Serial | 069 Last Visit: 27/08/2026 |
| Patient Name | Mrs. SAYANTANI DAS | Contact No | 9062085709 |
| Address | 3/A/1 LAHIRI LANE,FLAT NO 201,GOVINDAVILA,SERAMPORE | Age | 30 Years,1 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 119/73 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: |
| Diagnosis | |||