Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06837 | Date 23/05/2024 |
| Token No | SM/25-26/1197 25/04/2025 | Serial | 030 |
| Patient Name | Mr. MAYUKH DAS | Contact No | 9038217769 |
| Address | 10/P HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||