Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 13742 | Date 17/11/2025 |
| Token No | SM/25-26/2661 17/11/2025 | Serial | 025 |
| Patient Name | Mr. SOUREN DAS | Contact No | 6290132648 |
| Address | 650/A G.T. ROAD, KALITALA | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||