Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10048 | Date 11/10/2025 |
| Token No | SM/25-26/8950 11/10/2025 | Serial | 016 |
| Patient Name | Mr. TIMIR AICH | Contact No | 8100510396 |
| Address | TALPUKUR LOKENATH PALLY DAKSHIN RAJYADHARPUR 712203 | Age | 59 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||