Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 09793 | Date 27/07/2023 |
| Token No | SM/22-23/11224 27/07/2023 | Serial | 009 |
| Patient Name | Mr. SAYAN GHOSH | Contact No | 9073157619 |
| Address | 72 K M SHA STREET | Age | 19 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||