Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09976 | Date 18/09/2025 |
| Token No | SM/25-26/15461 02/03/2026 | Serial | 037 |
| Patient Name | Mr. TAPAN KUMAR BRAHMA | Contact No | 9062843216 |
| Address | 16 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 63 Years,2 Months,29 Days Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||