Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09251 | Date 08/05/2025 |
| Token No | SM/25-26/1734 08/05/2025 | Serial | 036 |
| Patient Name | Mr. BABULAL MALLICK | Contact No | |
| Address | 24/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||