Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09214 | Date 02/06/2023 |
| Token No | SM/25-26/2568 10/11/2025 | Serial | 020 |
| Patient Name | Mr. SUBRATA BOSE | Contact No | 8335837762 |
| Address | 132/D THAKUR BATI STREET | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||