Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08045 | Date 18/10/2024 |
| Token No | SM/25-26/10917 24/11/2025 | Serial | 018 |
| Patient Name | Mr. PRASANTA KUMAR DAS | Contact No | 9231747636 |
| Address | 32/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 31 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 90/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||