Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11754 | Date 08/07/2024 |
| Token No | SM/24-25/17395 08/07/2024 | Serial | 004 |
| Patient Name | Mr. SANDIP KUMAR DAS | Contact No | 7980634966 |
| Address | 71A/1 POTUA PARA LANE | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||