Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07334 | Date 03/07/2024 |
| Token No | SM/25-26/6740 22/08/2025 | Serial | 018 |
| Patient Name | Mr. SAMARUP MALAKAR | Contact No | 8697353380 |
| Address | 28/29 TARAPUKUR LANE,SERAMPORE 712203 | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||