Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09939 | Date 11/08/2023 |
| Token No | SM/22-23/11555 11/08/2023 | Serial | 002 |
| Patient Name | Mr. MADHUSUDAN PAL | Contact No | 9748664898 |
| Address | 45 N L BHATTACHARJEE STREET | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||