Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 09931 | Date 10/08/2023 |
| Token No | SM/22-23/11524 10/08/2023 | Serial | 005 |
| Patient Name | Mr. MONOMOY BHAR | Contact No | 9830921976 |
| Address | 8/C NABAKRISHNA GUIN LANE | Age | 46 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||