Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 03435 | Date 19/11/2019 |
| Token No | SM/24-25/16549 29/05/2024 | Serial | 016 |
| Patient Name | Mr. SAYANTAN DUTTA | Contact No | 7278805880 |
| Address | 7 PATUA PARA | Age | 26 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||