Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09780 | Date 20/08/2025 |
| Token No | SM/25-26/6618 20/08/2025 | Serial | 027 |
| Patient Name | Mr. SUBRATA PAIN | Contact No | 7029212842 |
| Address | GANDHPUR BIRBHUM 713143 | Age | 37 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||