Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12233 | Date 14/10/2024 |
| Token No | SM/25-26/53 05/04/2025 | Serial | 006 |
| Patient Name | Mr. SUBRATA HALDER | Contact No | 9007640366 |
| Address | BSNL OFFICE STAFF | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||