Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13401 | Date 18/08/2025 |
| Token No | SM/25-26/1711 18/08/2025 | Serial | 011 |
| Patient Name | Mr. SUMIT KUMAR MITRA | Contact No | 6299580415 |
| Address | 3 BECHU DEY LANE | Age | 32 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||