Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 13402 | Date 18/08/2025 |
| Token No | SM/25-26/1713 18/08/2025 | Serial | 013 |
| Patient Name | Mr. RANJAN PATHAK | Contact No | 7980422176 |
| Address | 28/21 SATISH CHANDRA GHOSH LANE | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||