Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04883 | Date 21/08/2023 |
| Token No | SM/25-26/5976 07/08/2025 | Serial | 021 |
| Patient Name | Mr. SUBHODIP SAHA | Contact No | 9883081298 |
| Address | 25/A/7/2 FD ROAD MALLICKPARA SERAMPORE 712203 | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||