Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06094 | Date 24/01/2024 |
| Token No | SM/25-26/1791 09/05/2025 | Serial | 018 |
| Patient Name | Mr. SUBHAM RAY | Contact No | 8961941308 |
| Address | 10/B HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||