Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09835 | Date 02/08/2023 |
| Token No | SM/22-23/11315 02/08/2023 | Serial | 018 |
| Patient Name | Mr. SONACHAND SIL | Contact No | 7980150362 |
| Address | 61/C/1 THAKURBATI STREET | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||