Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09427 | Date 21/06/2023 |
| Token No | SM/22-23/10361 21/06/2023 | Serial | 007 |
| Patient Name | Mr. KRISHNENDU PAL | Contact No | 7008549528 |
| Address | NABAKRISHNA GUIN LANE | Age | 47 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||