Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13086 | Date 09/06/2025 |
| Token No | SM/25-26/720 09/06/2025 | Serial | 036 |
| Patient Name | Mr. TAMAL CHAKRABORTY | Contact No | 9477514096 |
| Address | BSNL OFFICE STAFF | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||