Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07591 | Date 06/08/2024 |
| Token No | SM/25-26/10916 24/11/2025 | Serial | 017 |
| Patient Name | Mr. PRASAD CHAKRABORTY | Contact No | 9836830852 |
| Address | GHORAMARA P MALLICKPARA 712203 | Age | 25 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||