Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09960 | Date 15/09/2025 |
| Token No | SM/25-26/8002 15/09/2025 | Serial | 018 |
| Patient Name | Mr. JOYDEB RUIDAS | Contact No | 9163338403 |
| Address | 10 DR B R AMBEDKAR LANE MALLICKPARA SERAMPORE 712203 | Age | 49 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||