Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02343 | Date 29/07/2022 |
| Token No | SM/25-26/6281 13/08/2025 | Serial | 018 |
| Patient Name | Mr. SANDIP DAS | Contact No | 9836050446 |
| Address | 4 G T ROAD WEST SERAMPORE MALLICKPARA 712203 | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 136/100 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||