Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 13091 | Date 11/06/2025 |
| Token No | SM/25-26/738 11/06/2025 | Serial | 001 |
| Patient Name | Mr. RANAJIT DEY | Contact No | 8013376424 |
| Address | 627 G T ROAD | Age | 38 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||