Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 10244 | Date 29/11/2025 |
| Token No | SM/25-26/11215 29/11/2025 | Serial | 055 |
| Patient Name | Mr. PARTHA DAS | Contact No | 8910310046 |
| Address | 32/B TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 31 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||