Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11695 | Date 25/06/2024 |
| Token No | SM/24-25/20900 10/02/2025 | Serial | 013 |
| Patient Name | Mr. RAJU DAS | Contact No | 7890281564 |
| Address | 48/A PATUA PARA | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||