Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09341 | Date 26/05/2025 |
| Token No | SM/25-26/3125 05/06/2025 | Serial | 083 |
| Patient Name | Mr. SONU KUMAR RAY | Contact No | 8967297812 |
| Address | 10/B HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||