Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10020 | Date 18/08/2023 |
| Token No | SM/22-23/11732 18/08/2023 | Serial | 032 |
| Patient Name | Mr. CHOTKA SHAW | Contact No | 9875446452 |
| Address | 42 T P BHATTACHARJEE ATREET | Age | 30 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||