Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 16410 | Date 29/01/2026 |
| Token No | SM/25-26/9774 02/03/2026 at 10:33 | Serial | 009 Last Visit: 28/02/2026 |
| Patient Name | Mrs. KAKALY CHAKRABORTY | Contact No | 9123808917 |
| Address | 44/A CHAKRABORTY LANE SERAMPORE | Age | 30 Years,6 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72.5 KG |
| Pulse Rate | / min | Height | cm BMI: |
| Diagnosis | |||