Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07178 | Date 27/06/2024 |
| Token No | SM/25-26/5142 22/07/2025 | Serial | 030 |
| Patient Name | Mr. KAUSTAV DAS | Contact No | 8910787292 |
| Address | 10/U/2 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 16 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||