Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 13362 | Date 11/08/2025 |
| Token No | SM/25-26/1610 11/08/2025 | Serial | 003 |
| Patient Name | Mr. SUBRATA HALDER | Contact No | 9163575948 |
| Address | 104 N N COLONY | Age | 56 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||