Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12583 | Date 29/01/2025 |
| Token No | SM/24-25/20749 29/01/2025 | Serial | 008 |
| Patient Name | Mr. ALOK KUMAR DAS | Contact No | 7566551001 |
| Address | 17 PANDIT KALINATH BHATTACHARYA STREET | Age | 63 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||