Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 09943 | Date 11/08/2023 |
| Token No | SM/22-23/11561 11/08/2023 | Serial | 008 |
| Patient Name | Mr. DILIP NANDI | Contact No | 9874754069 |
| Address | 39/E KHAS BAGAN | Age | 70 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||