Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 13500 | Date 10/09/2025 |
| Token No | SM/25-26/1981 10/09/2025 | Serial | 008 |
| Patient Name | Mr. SANTOSH KUMAR DUTTA | Contact No | 9433319378 |
| Address | 3A BRAJA DUTTA LANE | Age | 58 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||