Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 13133 | Date 18/06/2025 |
| Token No | SM/25-26/882 18/06/2025 | Serial | 017 |
| Patient Name | Mr. RUPAM MUKHERJEE | Contact No | 7439675700 |
| Address | 1 CHAKRABORTY LANE, GOSAIPARA | Age | 12 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||