Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12523 | Date 13/01/2025 |
| Token No | SM/24-25/20478 13/01/2025 | Serial | 021 |
| Patient Name | Mr. CHANDANA SHEET. | Contact No | 8017278346 |
| Address | 28/5 SHASHIBHUSAN GHOSH LANE | Age | 58 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||