Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 16403 | Date 28/01/2026 |
| Token No | SM/25-26/9810 02/03/2026 at 11:15 | Serial | 045 Last Visit: 29/01/2026 |
| Patient Name | Mrs. SUCHANDRA DAS | Contact No | 9325188193 |
| Address | 17/A P N CHAKRABORTY LANE CHATRA | Age | 27 Years,1 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: |
| Diagnosis | |||