Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 04439 | Date 03/06/2021 |
| Token No | SM/22-23/11117 21/07/2023 | Serial | 020 |
| Patient Name | Mr. SISIR CHATTERJEE | Contact No | 9330868652 |
| Address | MAHESH N N COLONY | Age | 28 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||