Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12618 | Date 06/02/2025 |
| Token No | SM/24-25/20845 06/02/2025 | Serial | 001 |
| Patient Name | Mr. NARESH DAS | Contact No | 7633803766 |
| Address | 14/B DEY STREET | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||