Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09532 | Date 04/07/2023 |
| Token No | SM/22-23/10585 04/07/2023 | Serial | 007 |
| Patient Name | Mr. BADAL DAS | Contact No | 8961153433 |
| Address | TALPUKUR | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||