Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12757 | Date 10/03/2025 |
| Token No | SM/24-25/21281 10/03/2025 | Serial | 023 |
| Patient Name | Mr. DIPAK SINGH | Contact No | 9903997088 |
| Address | 2ND BYE LABE S B GHOSH LANE | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||