Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09291 | Date 12/06/2023 |
| Token No | SM/22-23/10098 12/06/2023 | Serial | 005 |
| Patient Name | Mr. SHIBNATH CHAKRABORTY | Contact No | 9830236465 |
| Address | NAGA MORE, GHOSHAL PARA | Age | 59 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||