Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01983 | Date 21/06/2022 |
| Token No | SM/25-26/8404 23/09/2025 | Serial | 014 |
| Patient Name | Mr. FRISHDEO SAH | Contact No | 8481047538 |
| Address | 10/B HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 72 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||