Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 13510 | Date 12/09/2025 |
| Token No | SM/25-26/2019 12/09/2025 | Serial | 005 |
| Patient Name | Mr. MANIK DIG | Contact No | 9830417903 |
| Address | 42 BHAGIRATHI LANE | Age | 47 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||