Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12695 | Date 24/02/2025 |
| Token No | SM/24-25/21092 24/02/2025 | Serial | 012 |
| Patient Name | Mr. TAMAL KUMAR NATH | Contact No | 9123838023 |
| Address | 112 THAKURBATI STREET | Age | 33 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||