Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 09376 | Date 16/06/2023 |
| Token No | SM/22-23/10271 16/06/2023 | Serial | 007 |
| Patient Name | Mr. GOUTAM DEY | Contact No | 7685849861 |
| Address | 140 G T ROAD, MANIKTALA | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||