Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10262 | Date 01/09/2023 |
| Token No | SM/25-26/541 24/05/2025 | Serial | 001 |
| Patient Name | Mr. TRINENDU DEY | Contact No | 6290218791 |
| Address | 6 DEY STREET | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||