Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 09295 | Date 12/06/2023 |
| Token No | SM/22-23/10106 12/06/2023 | Serial | 013 |
| Patient Name | Mr. UTTAM HALDER | Contact No | 8902568122 |
| Address | 104 N.N. COLNY | Age | 49 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||