Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00916 | Date 10/02/2020 |
| Token No | SM/25-26/9740 31/10/2025 | Serial | 035 |
| Patient Name | Mr. SUSHANTA SADHUKHAN | Contact No | 9874359757 |
| Address | 26 SANIPARA LANE SERAMPORE 712203 | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||