Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 13668 | Date 29/10/2025 |
| Token No | SM/25-26/2412 29/10/2025 | Serial | 001 |
| Patient Name | Mr. SANJIT KUMAR PAL | Contact No | 6289758482 |
| Address | 28 N N COLONY | Age | 45 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||