Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 09762 | Date 16/08/2025 |
| Token No | SM/25-26/6440 16/08/2025 | Serial | 008 |
| Patient Name | Mr. DEBJIT SARKAR | Contact No | |
| Address | MAHESH SERAMPORE 712202 | Age | 38 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||