Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10598 | Date 02/03/2026 |
| Token No | SM/25-26/15482 02/03/2026 | Serial | 058 |
| Patient Name | Mr. AMALENDU SARKAR | Contact No | 7044395212 |
| Address | UTTAR MONDAL PARA SIMLA MALLICKPARA 712203 | Age | 51 Years,2 Months,29 Days Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||