Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10161 | Date 11/11/2025 |
| Token No | SM/25-26/10760 21/11/2025 | Serial | 006 |
| Patient Name | Mr. KARTICK BHOWMICK | Contact No | 9851720085 |
| Address | KUSHMANDI UKHALIA KUSHMANDI SOUTH DINAJPUR 733132 | Age | 30 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||