Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06761 | Date 11/05/2024 |
| Token No | SM/25-26/280 05/04/2025 | Serial | 026 |
| Patient Name | Mr. RAKTIM HATUI | Contact No | 9163719701 |
| Address | 38 SANIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 13 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||