Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12659 | Date 13/02/2025 |
| Token No | SM/24-25/20949 13/02/2025 | Serial | 011 |
| Patient Name | Mr. RABINDRA CHOWDHURY | Contact No | 9330159166 |
| Address | RAILNAD ROAD | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||