Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12726 | Date 05/03/2025 |
| Token No | SM/24-25/21191 05/03/2025 | Serial | 009 |
| Patient Name | Mr. RINKU ROY | Contact No | 9123945523 |
| Address | 85 R.B. SARANI | Age | 63 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||