Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07296 | Date 01/07/2024 |
| Token No | SM/25-26/6469 18/08/2025 | Serial | 007 |
| Patient Name | Mr. KOUSHIK DUTTA | Contact No | 8013383218 |
| Address | 23/A G T ROAD MALLICKPARA SERAMPORE 712203 | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||