Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12513 | Date 10/01/2025 |
| Token No | SM/24-25/20425 10/01/2025 | Serial | 001 |
| Patient Name | Mr. HARIHAR PAL. | Contact No | 6289295122 |
| Address | 9/449 N L BHATTACHARJEE STREET | Age | 33 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||