Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 10256 | Date 01/12/2025 |
| Token No | SM/25-26/11309 01/12/2025 | Serial | 037 |
| Patient Name | Mr. GANESH CHANDRA ROUTH | Contact No | 9330085944 |
| Address | 1/A MALPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 76 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||