Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 13290 | Date 24/07/2025 |
| Token No | SM/25-26/1387 24/07/2025 | Serial | 026 |
| Patient Name | Mr. SADHIN DEY. | Contact No | 9932150737 |
| Address | 31 S B GHOSH LANE | Age | 45YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||