Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09141 | Date 21/04/2025 |
| Token No | SM/25-26/964 21/04/2025 | Serial | 059 |
| Patient Name | Mr. BIJOY PANDEY | Contact No | 7003528375 |
| Address | KUNDUGALI TALDANGA BUROSHIBTALA 712105 | Age | 33 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||