Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 16395 | Date 27/01/2026 |
| Token No | SM/25-26/9798 02/03/2026 at 11:06 | Serial | 033 Last Visit: 29/01/2026 |
| Patient Name | Mrs. JHUMA DAS | Contact No | 9836563586 |
| Address | 4 L B S ROAD SERAMPORE | Age | 21 Years,2 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm BMI: |
| Diagnosis | |||