Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09779 | Date 20/08/2025 |
| Token No | SM/25-26/6617 20/08/2025 | Serial | 026 |
| Patient Name | Mr. SUJIT KUMAR THANDER | Contact No | 7599150293 |
| Address | BANSHRA PALLTA BARDDHAMAN 713143 | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||