Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08088 | Date 23/10/2024 |
| Token No | SM/25-26/22674 27/10/2026 | Serial | 010 |
| Patient Name | Mr. SHYAMAL KUMAR DAS | Contact No | 9477055634 |
| Address | 2/B HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 66 Years,8 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||