Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09558 | Date 11/07/2025 |
| Token No | SM/25-26/4551 11/07/2025 | Serial | 006 |
| Patient Name | Mr. SHAMBHUNATH PRAMANICK | Contact No | 9143080402 |
| Address | 10 DULEYPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||