Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06042 | Date 09/06/2022 |
| Token No | SM/25-26/718 09/06/2025 | Serial | 034 |
| Patient Name | Mr. ASHOK KUNDU | Contact No | 7603044932 |
| Address | 52 N.L. BHATTACHARYA STREET | Age | 58 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||