Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 09500 | Date 30/06/2023 |
| Token No | SM/22-23/10504 30/06/2023 | Serial | 007 |
| Patient Name | Mr. SITARAM BHATTACHARJEE | Contact No | 9674513110 |
| Address | 117 G T ROAD, MANIKTALA | Age | 78 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||