Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 04608 | Date 14/07/2021 |
| Token No | SM/22-23/10637 05/07/2023 | Serial | 012 |
| Patient Name | Mr. SHIBNATH DEY | Contact No | 8337086286 |
| Address | J N LAHIRI ROAD | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||