Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 09269 | Date 08/06/2023 |
| Token No | SM/22-23/10049 08/06/2023 | Serial | 009 |
| Patient Name | Mr. DIPU NAYEK | Contact No | 9874304323 |
| Address | 87 J.N. LAHIRI ROAD | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||