Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 13403 | Date 18/08/2025 |
| Token No | SM/25-26/1792 29/08/2025 | Serial | 010 |
| Patient Name | Mr. TAPAN KUMAR SEN | Contact No | 8240642967 |
| Address | 35/A/1 S.B. GHOSH LANE | Age | 79 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||