Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09741 | Date 24/07/2023 |
| Token No | SM/22-23/11132 24/07/2023 | Serial | 004 |
| Patient Name | Mr. SANTANU BISWAS | Contact No | 9874299563 |
| Address | 2A KASHI DOCTOR LANE | Age | 40 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||