Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05888 | Date 23/05/2022 |
| Token No | SM/22-23/15554 01/04/2024 | Serial | 019 |
| Patient Name | Mr. SOUMEN SADHUKHAN | Contact No | 9903263249 |
| Address | 51 G T ROAD, KALITALA | Age | 49 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||