Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07021 | Date 12/09/2022 |
| Token No | SM/24-25/20746 29/01/2025 | Serial | 005 |
| Patient Name | Mr. TANMOY PAL | Contact No | NOT GIVEN |
| Address | KALITALA | Age | 27 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||