Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02808 | Date 28/09/2022 |
| Token No | SM/25-26/10087 07/11/2025 | Serial | 025 |
| Patient Name | Mr. NEMAI DAS | Contact No | 9038217769 |
| Address | 10/P HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 64 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||