Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09557 | Date 11/07/2025 |
| Token No | SM/25-26/4548 11/07/2025 | Serial | 003 |
| Patient Name | Mr. KAMAR KHAN | Contact No | 8478988341 |
| Address | 6/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 54 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||