Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03310 | Date 05/12/2022 |
| Token No | SM/25-26/8260 20/09/2025 | Serial | 018 |
| Patient Name | Mr. RABIN DAS | Contact No | 9163452140 |
| Address | 10/J HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||