Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07366 | Date 05/07/2024 |
| Token No | SM/25-26/7811 11/09/2025 | Serial | 018 |
| Patient Name | Mr. ABHOY YADAV | Contact No | 9163980269 |
| Address | 11 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 18 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||