Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08208 | Date 15/11/2024 |
| Token No | SM/25-26/5040 21/07/2025 | Serial | 023 |
| Patient Name | Mr. MRITYUNJOY ROY | Contact No | 8961631074 |
| Address | 7A HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 68 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 150/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||