Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 10239 | Date 31/08/2023 |
| Token No | SM/22-23/12142 31/08/2023 | Serial | 020 |
| Patient Name | Mr. BASUDEB JANA | Contact No | 9836520815 |
| Address | 73/27 J.N LAHIRI ROAD | Age | 64 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||