Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 09781 | Date 26/07/2023 |
| Token No | SM/22-23/11204 26/07/2023 | Serial | 002 |
| Patient Name | Mr. SURAJIT HIZLI | Contact No | 8981239466 |
| Address | SERAMPORE MAHESH COLONY | Age | 23 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||