Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12959 | Date 05/05/2025 |
| Token No | SM/25-26/356 05/05/2025 | Serial | 015 |
| Patient Name | Mr. SOUMYAJIT BISWAS | Contact No | 8100534430 |
| Address | 39 DEY STREET | Age | 32 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||