Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 12601 | Date 30/01/2025 |
| Token No | SM/24-25/20800 30/01/2025 | Serial | 023 |
| Patient Name | Mr. JAGANNATH DAS.. | Contact No | 9907164096 |
| Address | 39C NILMONI GHOSH LANE | Age | 80 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||