Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12977 | Date 12/05/2025 |
| Token No | SM/25-26/425 12/05/2025 | Serial | 003 |
| Patient Name | Mr. ARUP DUTTA | Contact No | 7980294605 |
| Address | 11/1/2 S B GHOSH LANE | Age | 32 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||