Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08275 | Date 25/11/2024 |
| Token No | SM/25-26/22691 28/10/2026 | Serial | 008 |
| Patient Name | Mr. GOPAL CHANDRA DEY | Contact No | 8622065379 |
| Address | 14A/1 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 60 Years,9 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 146/87 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||