Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13373 | Date 13/08/2025 |
| Token No | SM/25-26/1651 13/08/2025 | Serial | 006 |
| Patient Name | Mr. BISWANATH MAJUMDER | Contact No | 8017549032 |
| Address | 20 CRIPER ROAD KONNAGAR | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||