Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08871 | Date 10/03/2025 |
| Token No | SM/24-25/36737 10/03/2025 | Serial | 069 |
| Patient Name | Mr. KASHINATH PAL | Contact No | 9007459181 |
| Address | SIMLA KALITALA SERAMPORE 712203 | Age | 67 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||