Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 13147 | Date 23/06/2025 |
| Token No | SM/25-26/937 23/06/2025 | Serial | 009 |
| Patient Name | Mr. SULEKHA KARMAKAR | Contact No | 8777271600 |
| Address | 99 G.T. ROAD MANIKTALA | Age | 28 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||