Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13456 | Date 02/09/2025 |
| Token No | SM/25-26/1860 02/09/2025 | Serial | 012 |
| Patient Name | Mr. NANDAN PRASAD | Contact No | 8420017983 |
| Address | 52/A N.L. BHATTACHARYA STREET | Age | 34 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||