Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 06403 | Date 20/07/2022 |
| Token No | SM/22-23/10424 22/06/2023 | Serial | 026 |
| Patient Name | Mr. SOUMEN SRIMANI | Contact No | 9674898005 |
| Address | SHIBTALA LANE | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||