Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09174 | Date 25/04/2025 |
| Token No | SM/25-26/15417 01/03/2026 | Serial | 020 |
| Patient Name | Mr. JAYANTA PAL | Contact No | 9230283497 |
| Address | 2/A TARAPUKUR HARI PARA LANE SERAMPORE 712203 | Age | 45 Years,2 Months,28 Days Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||