Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01838 | Date 29/03/2019 |
| Token No | SM/25-26/481 16/05/2025 | Serial | 004 |
| Patient Name | Mr. RANJIT KR DEY | Contact No | 9836752495 |
| Address | 4C DEY ST | Age | 73 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||