Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06579 | Date 18/04/2024 |
| Token No | SM/25-26/8148 18/09/2025 | Serial | 058 |
| Patient Name | Mr. SANKAR SIL | Contact No | 8902294988 |
| Address | DAKSHIN RAJYADHARPUR MALLICKPARA SERAMPORE 712203 | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||