Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05390 | Date 10/10/2023 |
| Token No | SM/25-26/5284 24/07/2025 | Serial | 022 |
| Patient Name | Mr. SHAMBHUNATH DAS | Contact No | 9339372209 |
| Address | 37 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||