Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08531 | Date 11/01/2025 |
| Token No | SM/24-25/34020 11/01/2025 | Serial | 016 |
| Patient Name | Mr. SAMIR DAS | Contact No | 9330820778 |
| Address | 16/A HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 54 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||