Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08185 | Date 31/01/2023 |
| Token No | SM/24-25/21096 24/02/2025 | Serial | 016 |
| Patient Name | Mr. PRADIP DUTTA. | Contact No | 9883650533 |
| Address | 37 RAJYADHAR PUR G T ROAD WEST | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||