Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 12628 | Date 06/02/2025 |
| Token No | SM/24-25/20860 06/02/2025 | Serial | 016 |
| Patient Name | Mr. KASHINATH DAS | Contact No | 8100403037 |
| Address | KHAS BAGAN LANE | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||