Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09611 | Date 13/07/2023 |
| Token No | SM/22-23/10848 13/07/2023 | Serial | 007 |
| Patient Name | Mr. NILKOMAL MODAK | Contact No | 9832123730 |
| Address | BANKURA | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||