Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 10173 | Date 28/08/2023 |
| Token No | SM/22-23/12038 28/08/2023 | Serial | 040 |
| Patient Name | Mr. CHARAN KUMAR DAS | Contact No | 8961009492 |
| Address | 113(227) SEORAPHULI HOOGHLY | Age | 68 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||