Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05798 | Date 05/12/2023 |
| Token No | SM/25-26/22616 26/10/2026 | Serial | 006 |
| Patient Name | Mr. KAMAL ROY | Contact No | 9836232143 |
| Address | 102 BHATTACHARJEE GARDEN BYE LANE BAIDYABATI M 712203 | Age | 81 Years,9 Months,23 Days Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||