Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09897 | Date 08/08/2023 |
| Token No | SM/22-23/11443 08/08/2023 | Serial | 001 |
| Patient Name | Mr. SWAPAN KUMAR DEY | Contact No | 9883552810 |
| Address | 70 DEY STREET, LALIT ABASAN | Age | 79 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||