Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09949 | Date 11/08/2023 |
| Token No | SM/22-23/11571 11/08/2023 | Serial | 018 |
| Patient Name | Mr. GOUTAM DUTTA | Contact No | 8100794959 |
| Address | SATGHARA KHA PUKUR | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||