Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08393 | Date 20/02/2023 |
| Token No | SM/22-23/10548 03/07/2023 | Serial | 018 |
| Patient Name | Mr. DILIP DAS | Contact No | 9477611326 |
| Address | 41 BAHIR SERAMPORE | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||