Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12843 | Date 02/04/2025 |
| Token No | SM/25-26/22 02/04/2025 | Serial | 021 |
| Patient Name | Mr. SOURADIP DEY | Contact No | 7003532897 |
| Address | 92A DEY STREET | Age | 30 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||