Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04407 | Date 01/07/2023 |
| Token No | SM/25-26/5143 22/07/2025 | Serial | 031 |
| Patient Name | Mr. KOUSIK DAS | Contact No | 7890164338 |
| Address | 10/E/2 HARIPARA LANE SERAMPORE 712203 | Age | 12 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||