Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 09370 | Date 30/05/2025 |
| Token No | SM/25-26/7973 13/09/2025 | Serial | 043 |
| Patient Name | Mr. SUBHADIP BISWAS | Contact No | 9051118872 |
| Address | 2 NO RAI LAND ROAD MAHESH SERAMPORE 712202 | Age | 23 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||