Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08681 | Date 06/02/2025 |
| Token No | SM/24-25/35268 06/02/2025 | Serial | 077 |
| Patient Name | Mr. TAPAS BISWAS | Contact No | 9432070633 |
| Address | 44/1 G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 66 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||