Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09743 | Date 13/08/2025 |
| Token No | SM/25-26/6274 13/08/2025 | Serial | 011 |
| Patient Name | Mr. BISHWANATH RUIDAS | Contact No | 9230162490 |
| Address | 14/A DR B R AMBEDKAR LANE SERAMPORE 712203 | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||