Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05489 | Date 21/10/2023 |
| Token No | SM/25-26/2862 31/05/2025 | Serial | 031 |
| Patient Name | Mr. MATASARAN JAISWARA | Contact No | 9163124289 |
| Address | 10/Q HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 85 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/50 mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||