Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09534 | Date 04/07/2023 |
| Token No | SM/22-23/10594 04/07/2023 | Serial | 016 |
| Patient Name | Mr. JITEN DAS | Contact No | 7980855920 |
| Address | TINBAZAR,SERAMPORE | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||