Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07179 | Date 27/06/2024 |
| Token No | SM/25-26/11334 01/12/2025 | Serial | 062 |
| Patient Name | Mr. MD NOUSAD | Contact No | 7450961592 |
| Address | 17/E TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 31 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||