Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09610 | Date 13/07/2023 |
| Token No | SM/22-23/10847 13/07/2023 | Serial | 006 |
| Patient Name | Mr. BASUDEV KARMAKAR | Contact No | 9832123730 |
| Address | BURDWAN | Age | 31 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||