Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 13099 | Date 11/06/2025 |
| Token No | SM/25-26/764 11/06/2025 | Serial | 027 |
| Patient Name | Mr. ABHINABA BHAR | Contact No | 9875523046 |
| Address | CHANDRAMOHAN ROY LANE | Age | 24 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||