Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09289 | Date 12/06/2023 |
| Token No | SM/22-23/10095 12/06/2023 | Serial | 002 |
| Patient Name | Mr. SAILEN DEY | Contact No | 7686003486 |
| Address | 26 THAKUR BATI STREET | Age | 54 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||