Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11698 | Date 25/06/2024 |
| Token No | SM/24-25/17118 25/06/2024 | Serial | 006 |
| Patient Name | Mr. DIPAK KUNDU | Contact No | 9143852839 |
| Address | 41B G T ROAD, MADAM BAGAN | Age | 65 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||