Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07288 | Date 01/07/2024 |
| Token No | SM/25-26/6256 12/08/2025 | Serial | 032 |
| Patient Name | Mr. SUBHOJIT NATH | Contact No | 9088661935 |
| Address | 13 G T ROAD HUMOR BAGAN MALLICKPARA SERAMPORE 712203 | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||