Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13656 | Date 25/10/2025 |
| Token No | SM/25-26/2387 25/10/2025 | Serial | 009 |
| Patient Name | Mr. NIRANJAN PAL | Contact No | 9088974671 |
| Address | 44/1/E DR. N L BHATTACHARJEE STREET | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||