Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05459 | Date 17/10/2023 |
| Token No | SM/25-26/2219 19/05/2025 | Serial | 027 |
| Patient Name | Mr. SUBHASH PAL | Contact No | 9830717706 |
| Address | BORA BAISHNAB PARA SINGUR 712306 | Age | 39 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 118/80 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||