Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13750 | Date 19/11/2025 |
| Token No | SM/25-26/2683 19/11/2025 | Serial | 008 |
| Patient Name | Mr. KISHORE KUMAR | Contact No | 9748428811 |
| Address | 2 GOPAL GANGULY LANE | Age | 24 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||