Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 11786 | Date 13/07/2024 |
| Token No | SM/24-25/17511 13/07/2024 | Serial | 009 |
| Patient Name | Mr. SANTU DEBNATH | Contact No | 9038707037 |
| Address | 3/A/8 RAYLAND CIRCULAR ROAD | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||