Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07156 | Date 26/06/2024 |
| Token No | SM/25-26/4950 18/07/2025 | Serial | 031 |
| Patient Name | Mr. RANGAN DUTTA | Contact No | 8582880212 |
| Address | 10 DULEYPARA LANE SERAMPORE MALLICKPARA 712203 | Age | 12 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||