Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13150 | Date 25/06/2025 |
| Token No | SM/25-26/958 25/06/2025 | Serial | 012 |
| Patient Name | Mr. JOYDEB PRADHAN | Contact No | 8420775686 |
| Address | DEY STREET | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||