Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12992 | Date 15/05/2025 |
| Token No | SM/25-26/452 15/05/2025 | Serial | 003 |
| Patient Name | Mr. ASHOK KUMAR NANDI | Contact No | 8622862475 |
| Address | 47A PANDIT KALINATH BHATTACHARJEE STREET | Age | 79 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||