Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 03568 | Date 06/12/2019 |
| Token No | SM/24-25/19582 05/11/2024 | Serial | 012 |
| Patient Name | Mr. SOMNATH CHANDRA | Contact No | 9674486340 |
| Address | 33/A DEY BAGAN LANE | Age | 27 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||