Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05973 | Date 30/05/2022 |
| Token No | SM/24-25/16482 25/05/2024 | Serial | 003 |
| Patient Name | Mr. SHARMILA MAITRA | Contact No | 8017859885 |
| Address | KALITALA | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||