Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09519 | Date 30/06/2025 |
| Token No | SM/25-26/4176 30/06/2025 | Serial | 087 |
| Patient Name | Mr. NILADRI CHAKRABORTY | Contact No | |
| Address | ANIYA ,HOOGHLY | Age | 36 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||