Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 12079 | Date 07/09/2024 |
| Token No | SM/24-25/20989 17/02/2025 | Serial | 009 |
| Patient Name | Mr. DEBRAJ DAS | Contact No | 9830851399 |
| Address | 3/A RAYLAND CIRCULAR ROAD | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||