Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11763 | Date 10/07/2024 |
| Token No | SM/24-25/17423 10/07/2024 | Serial | 006 |
| Patient Name | Mr. BISWAJIT RAKSHIT | Contact No | 9674510989 |
| Address | 49 POTUA PARA | Age | 21 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||