Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09252 | Date 08/05/2025 |
| Token No | SM/25-26/4165 30/06/2025 | Serial | 076 |
| Patient Name | Mr. MATIN MIR ABDUL | Contact No | 9836390866 |
| Address | 12/B TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||