Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09953 | Date 14/08/2023 |
| Token No | SM/22-23/11592 14/08/2023 | Serial | 002 |
| Patient Name | Mr. DEBU GHOSH | Contact No | 8777479134 |
| Address | RAY LAND ROAD | Age | 35 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||