Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12387 | Date 25/11/2024 |
| Token No | SM/24-25/19879 25/11/2024 | Serial | 025 |
| Patient Name | Mr. VIVEK GHOSH | Contact No | 6291329646 |
| Address | BAIDYABATI | Age | 24 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||