Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 11595 | Date 03/06/2024 |
| Token No | SM/24-25/19986 29/11/2024 | Serial | 016 |
| Patient Name | Mr. NIRANJAN PRAMANIK | Contact No | 8777081687 |
| Address | SHIB TALA LANE | Age | 38 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||