Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05164 | Date 16/09/2023 |
| Token No | SM/25-26/762 16/04/2025 | Serial | 077 |
| Patient Name | Mr. NIRMAL SAHA | Contact No | 8334861133 |
| Address | 4/C MALPARA MALLICKPARA SERAMPORE 712203 | Age | 58 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||