Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 06964 | Date 07/09/2022 |
| Token No | SM/24-25/19749 16/11/2024 | Serial | 007 |
| Patient Name | Mr. NIRANJAN PRAMANIK | Contact No | 8745981012 |
| Address | 31 SHIBTALA LANE | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||