Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 09475 | Date 23/06/2023 |
| Token No | SM/22-23/10443 23/06/2023 | Serial | 013 |
| Patient Name | Mr. ANIL MUKHERJEE | Contact No | 9477858520 |
| Address | K M SHA STREET | Age | 64 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||