Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09039 | Date 12/05/2023 |
| Token No | SM/25-26/1305 21/07/2025 | Serial | 014 |
| Patient Name | Mr. SK TALEB | Contact No | 8585876088 |
| Address | 14 A K C BHATTACHARJEE STREET | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||