Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09300 | Date 15/05/2025 |
| Token No | SM/25-26/2096 15/05/2025 | Serial | 059 |
| Patient Name | Mr. NIRAPADA DAS | Contact No | 9748153258 |
| Address | 95 G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||