Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12832 | Date 29/03/2025 |
| Token No | SM/24-25/21484 29/03/2025 | Serial | 004 |
| Patient Name | Mr. SAYAN DEY | Contact No | 9433402527 |
| Address | 86 DEY STEET | Age | 33 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||