Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09128 | Date 19/04/2025 |
| Token No | SM/25-26/888 19/04/2025 | Serial | 056 |
| Patient Name | Mr. SUVODEEP DAS | Contact No | 8420424285 |
| Address | 22B SANIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||