Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10851 | Date 06/05/2026 |
| Token No | SM/25-26/20664 27/08/2026 | Serial | 029 |
| Patient Name | Mrs. PARBATI KUMARI CHOWDHURY | Contact No | 9073555920 |
| Address | 47/J PRAVASHNAGAR SERAMPORE 712249 | Age | 20 Years,3 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||