Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09765 | Date 25/07/2023 |
| Token No | SM/22-23/11175 25/07/2023 | Serial | 005 |
| Patient Name | Mr. INDRANATH CHOWDHURY | Contact No | 8420033348 |
| Address | 11/1 S B GHOSH LANE | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||