Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12535 | Date 16/01/2025 |
| Token No | SM/24-25/20535 16/01/2025 | Serial | 012 |
| Patient Name | Mr. SANTU NAG | Contact No | NOT GIVEN |
| Address | DEY STREET | Age | 46 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||