Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11539 | Date 16/05/2024 |
| Token No | SM/24-25/16282 16/05/2024 | Serial | 001 |
| Patient Name | Mr. JOYDEB DAS | Contact No | 8648008287 |
| Address | 22/D NOTUN BAGAN LANE | Age | 66 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||