Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09240 | Date 07/05/2025 |
| Token No | SM/25-26/1670 07/05/2025 | Serial | 046 |
| Patient Name | Mr. SOMNATH KHAMRUI | Contact No | 9547011819 |
| Address | CHANDUR TARAKESWAR HOOGHLY 712410 | Age | 33 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||