Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12670 | Date 15/02/2025 |
| Token No | SM/24-25/20972 15/02/2025 | Serial | 005 |
| Patient Name | Mr. SUROJIT DEY | Contact No | 8101691618 |
| Address | PANCHANANTALA | Age | 20 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||