Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 04910 | Date 16/09/2021 |
| Token No | SM/24-25/18237 16/08/2024 | Serial | 040 |
| Patient Name | Mr. SANJIB BANIK | Contact No | NOT GIVEN |
| Address | 266/A MAHESH COLONY | Age | 59 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||