Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 13455 | Date 02/09/2025 |
| Token No | SM/25-26/2111 18/09/2025 | Serial | 034 |
| Patient Name | Mr. RAJKUMAR DEY | Contact No | 9007086319 |
| Address | 649 G.T. ROAD KALITALA | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||