Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12404 | Date 28/11/2024 |
| Token No | SM/24-25/20679 24/01/2025 | Serial | 021 |
| Patient Name | Mr. KHAGEN MAJUMDER | Contact No | 8910088971 |
| Address | BANDEL | Age | 72 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||