Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08847 | Date 07/03/2025 |
| Token No | SM/24-25/36559 07/03/2025 | Serial | 020 |
| Patient Name | Mr. ANSAR ALI | Contact No | 9330894759 |
| Address | 11/B TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||