Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08511 | Date 06/01/2025 |
| Token No | SM/24-25/33784 06/01/2025 | Serial | 064 |
| Patient Name | Mr. MANNAN BISWAS | Contact No | 9679618132 |
| Address | BHOLADANGA GAYESHPUR NADIA 741404 | Age | 70 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||