Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02431 | Date 10/08/2022 |
| Token No | SM/25-26/10695 20/11/2025 | Serial | 008 |
| Patient Name | Mr. DEBJIT MONDAL | Contact No | 6289369353 |
| Address | 10/M HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||