Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08502 | Date 04/01/2025 |
| Token No | SM/25-26/12428 27/12/2025 | Serial | 048 |
| Patient Name | Mr. MRINAL KANTI MAJUMDER | Contact No | 9831596343 |
| Address | 20/B TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 67 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||