Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 09430 | Date 21/06/2023 |
| Token No | SM/22-23/10364 21/06/2023 | Serial | 010 |
| Patient Name | Mr. GOUTAM HAZRA | Contact No | 9678585200 |
| Address | MAHESH COLONY | Age | 54 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||