Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07444 | Date 16/07/2024 |
| Token No | SM/25-26/9367 18/10/2025 | Serial | 013 |
| Patient Name | Mr. DEBANJAN BHOWMIK | Contact No | 7980819715 |
| Address | 3/E LENIN SARANI MALLICKPARA SERAMPORE 712203 | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||