Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 13083 | Date 09/06/2025 |
| Token No | SM/25-26/711 09/06/2025 | Serial | 027 |
| Patient Name | Mr. SHAMBHU DAS | Contact No | 9330578010 |
| Address | 1/A MASJIT LANE, TIKE PARA | Age | 70 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||