Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 03725 | Date 08/01/2020 |
| Token No | SM/21-22/175 26/04/2021 | Serial | 014 |
| Patient Name | Mr. SANTANU MANNA | Contact No | 9836030804 |
| Address | 30/E KAHTIR BAZAR LANE | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||