Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09485 | Date 23/06/2023 |
| Token No | SM/22-23/10466 23/06/2023 | Serial | 036 |
| Patient Name | Mr. SIDDHARTHA DEY | Contact No | 7024157676 |
| Address | 13 DHARMA TALA LANE | Age | 46 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||