Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07421 | Date 11/07/2024 |
| Token No | SM/25-26/9311 17/10/2025 | Serial | 013 |
| Patient Name | Mr. PRITAM DAS | Contact No | 7044340526 |
| Address | 43/18 PRAVASHNAGAR SERAMPORE 712249 | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||