Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03762 | Date 16/02/2023 |
| Token No | SM/25-26/2463 22/05/2025 | Serial | 069 |
| Patient Name | Mr. UJJAL GHOSH | Contact No | 9831355072 |
| Address | 21/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 19 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||