Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09738 | Date 13/08/2025 |
| Token No | SM/25-26/6264 13/08/2025 | Serial | 001 |
| Patient Name | Mr. APURBA SARKAR | Contact No | 6294381166 |
| Address | DHANIAKHALI | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 124/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||