Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09467 | Date 22/06/2023 |
| Token No | SM/22-23/10430 22/06/2023 | Serial | 032 |
| Patient Name | Mr. SUSHOVON DAS | Contact No | 6291258450 |
| Address | BROJO DUTTA LANE | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||