Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12528 | Date 14/01/2025 |
| Token No | SM/24-25/20504 14/01/2025 | Serial | 006 |
| Patient Name | Mr. DEVKUMAR SIL | Contact No | 9436156153 |
| Address | TARAKESWAR | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||