Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10038 | Date 21/08/2023 |
| Token No | SM/22-23/11778 21/08/2023 | Serial | 013 |
| Patient Name | Mr. NITYANANDA MADU | Contact No | 6289872950 |
| Address | 31 SASHI BHUSHAN GHOSH LANE | Age | 30 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||