Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 13840 | Date 08/12/2025 |
| Token No | SM/25-26/2920 08/12/2025 | Serial | 015 |
| Patient Name | Mr. RUPOJEET ROY | Contact No | 8777281106 |
| Address | 20 JAMIDAR BAGAN, SERAMPORE | Age | 21 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||