Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 16394 | Date 27/01/2026 |
| Token No | SM/25-26/9816 02/03/2026 at 11:21 | Serial | 051 Last Visit: 27/01/2026 |
| Patient Name | Mrs. RUBI KHATOON | Contact No | 9330380117 |
| Address | 41, K.M BHATTACHARYA STREET | Age | 24 Years,2 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: |
| Diagnosis | |||