Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08834 | Date 06/03/2025 |
| Token No | SM/24-25/36739 10/03/2025 | Serial | 071 |
| Patient Name | Mr. PRADIP DEY | Contact No | 8972414416 |
| Address | CHAPRA BANGALJI NADIA 741123 | Age | 64 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||