Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10966 | Date 18/12/2023 |
| Token No | SM/24-25/19559 04/11/2024 | Serial | 005 |
| Patient Name | Mr. NANDA DAS | Contact No | 9734578029 |
| Address | 2 DEY BAGAN LANE | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||