Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08668 | Date 05/02/2025 |
| Token No | SM/25-26/12252 22/12/2025 | Serial | 012 |
| Patient Name | Mr. SK SELIM | Contact No | 8334884856 |
| Address | 7 TARAPUKUR LANE CHAKAPARA SERAMPORE 712203 | Age | 58 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||