Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13416 | Date 27/08/2025 |
| Token No | SM/25-26/1750 27/08/2025 | Serial | 004 |
| Patient Name | Mr. BISWAJIT KAR | Contact No | 7517336883 |
| Address | 5 RUDRARAM PANDIT LANE | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||