Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09298 | Date 12/06/2023 |
| Token No | SM/22-23/10109 12/06/2023 | Serial | 016 |
| Patient Name | Mr. PRIYARANJAN GHATAK | Contact No | 9062953921 |
| Address | SINGHA GALI | Age | 68 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||