Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09478 | Date 23/06/2023 |
| Token No | SM/22-23/10450 23/06/2023 | Serial | 020 |
| Patient Name | Mr. PRASENJIT HALDER | Contact No | 9830585455 |
| Address | 9 BROJO DUTTA LANE | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||