Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 02681 | Date 01/08/2019 |
| Token No | SM/22-23/14260 15/01/2024 | Serial | 003 |
| Patient Name | Mr. RANJIT KUMAR DUTTA | Contact No | 9477514442 |
| Address | 54 KALITALA | Age | 46 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||