Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08660 | Date 05/02/2025 |
| Token No | SM/24-25/35109 05/02/2025 | Serial | 001 |
| Patient Name | Mr. ASISH GAYEN | Contact No | 9374123849 |
| Address | 15 GHORAMARA MALLICKPARA 712203 | Age | 58 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||