Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08578 | Date 18/01/2025 |
| Token No | SM/24-25/34302 18/01/2025 | Serial | 005 |
| Patient Name | Mr. TAPAN HATUI | Contact No | 6289780657 |
| Address | 17/A HARIPARALANE, MALLICK PARA | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||