Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09583 | Date 10/07/2023 |
| Token No | SM/22-23/10767 10/07/2023 | Serial | 019 |
| Patient Name | Mr. KARTIK MODI ROY | Contact No | 9564318696 |
| Address | BARDDHAMAN | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||