Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11791 | Date 15/07/2024 |
| Token No | SM/24-25/17527 15/07/2024 | Serial | 008 |
| Patient Name | Mr. HRIDARSON MONDAL | Contact No | 9647195545 |
| Address | 2 BROJO DUTTA LANE | Age | 74 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||