Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09410 | Date 19/06/2023 |
| Token No | SM/22-23/10332 19/06/2023 | Serial | 019 |
| Patient Name | Mr. PROBAL DASGUPTA | Contact No | 8015278952 |
| Address | L B S ROAD | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||