Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01372 | Date 06/04/2020 |
| Token No | SM/25-26/9691 30/10/2025 | Serial | 048 |
| Patient Name | Mr. SK ASLAM | Contact No | 7980996800 |
| Address | 4 TARAPUKUR LANE CHAKAPARA SERAMPORE 712203 | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||