Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06316 | Date 08/07/2022 |
| Token No | SM/24-25/20584 18/01/2025 | Serial | 006 |
| Patient Name | Mr. UTPAL MANNA | Contact No | 9433668970 |
| Address | BAT TALA | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||