Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10004 | Date 18/08/2023 |
| Token No | SM/22-23/11706 18/08/2023 | Serial | 006 |
| Patient Name | Mr. DEBU GHOSH | Contact No | 8981910717 |
| Address | 535 G T ROAD | Age | 63 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||