Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06900 | Date 30/05/2024 |
| Token No | SM/25-26/6483 18/08/2025 | Serial | 021 |
| Patient Name | Mr. SOUMEN BHAR | Contact No | 9143002142 |
| Address | 15 GOBINDA BHATTACHAYA LANE SERAMPORE 712201 | Age | 49 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 111/74 mmHg | Weight | 78 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||