Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03668 | Date 30/01/2023 |
| Token No | SM/25-26/4520 10/07/2025 | Serial | 015 |
| Patient Name | Mr. BARUN DEBNATH | Contact No | |
| Address | MALLICKPARA SERAMPORE 712203 | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||