Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 12603 | Date 30/01/2025 |
| Token No | SM/24-25/20808 30/01/2025 | Serial | 031 |
| Patient Name | Mr. SUJIT HALDER | Contact No | 9433967521 |
| Address | 9A SADGOPE PARA LANE | Age | 59 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||