Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12585 | Date 29/01/2025 |
| Token No | SM/24-25/20761 29/01/2025 | Serial | 020 |
| Patient Name | Mr. SHYAMAL KUMAR DAS | Contact No | 8017627453 |
| Address | S.B. GHOSH LANE | Age | 54 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||