Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10055 | Date 13/10/2025 |
| Token No | SM/25-26/9057 13/10/2025 | Serial | 060 |
| Patient Name | Mr. SUSHANTA HALDER | Contact No | 9073157025 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 65 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||