Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09195 | Date 02/05/2025 |
| Token No | SM/25-26/3927 24/06/2025 | Serial | 035 |
| Patient Name | Mr. SUJAN KUMAR GHOSH | Contact No | 8296046222 |
| Address | 25/A/1 TARAPUKUR LANE SERAMPORE 712203 | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 126/84 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||