Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 17334 | Date 14/10/2026 |
| Token No | SM/25-26/15834 26/10/2026 at 10:26 | Serial | 013 Last Visit: 26/10/2026 |
| Patient Name | Mrs. JYOTI SRIBASTAB | Contact No | 9748138315 |
| Address | 23 DR. T.P BHATTACHARYA STREET | Age | 20 Years,1 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67.5 KG |
| Pulse Rate | / min | Height | 157.5 cm BMI: 27.210884 |
| Diagnosis | |||