Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04936 | Date 24/08/2023 |
| Token No | SM/25-26/11387 03/12/2025 | Serial | 019 |
| Patient Name | Mr. BABLU MONDAL | Contact No | 6290757144 |
| Address | 47 G T ROAD WEST SERAMPORE 712203 | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||