Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 10032 | Date 19/08/2023 |
| Token No | SM/22-23/11763 19/08/2023 | Serial | 006 |
| Patient Name | Mr. ASHOK MAJUMDER | Contact No | 7003555948 |
| Address | 138 NEHERU NAGAR COLONY | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||