Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09863 | Date 04/08/2023 |
| Token No | SM/22-23/11376 04/08/2023 | Serial | 004 |
| Patient Name | Mr. SUJIT DEBNATH | Contact No | 9331645358 |
| Address | 47G BHAGIRATHI LANE | Age | 42 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||