Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07809 | Date 03/09/2024 |
| Token No | SM/25-26/5219 23/07/2025 | Serial | 060 |
| Patient Name | Mr. DIPTO HALDER | Contact No | 7890520295 |
| Address | GHORAMARA P MALLICKPARA 712203 | Age | 13 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||