Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 03670 | Date 03/01/2020 |
| Token No | SM/24-25/19962 28/11/2024 | Serial | 013 |
| Patient Name | Mr. BIMAL PUROKAYAT | Contact No | 9434859058 |
| Address | KALITALA | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||