Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 09695 | Date 20/07/2023 |
| Token No | SM/22-23/11043 20/07/2023 | Serial | 003 |
| Patient Name | Mr. SWARAJIT DUTTA RAY | Contact No | 8585876607 |
| Address | 362 MAHESH COLONY | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||