Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11970 | Date 16/08/2024 |
| Token No | SM/24-25/18235 16/08/2024 | Serial | 038 |
| Patient Name | Mr. RABI KARMAKAR | Contact No | |
| Address | DHULIPARA | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||