Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03576 | Date 09/12/2019 |
| Token No | SM/22-23/12476 14/09/2023 | Serial | 016 |
| Patient Name | Mr. MANINDRA MONDAL | Contact No | 8100414854 |
| Address | PRAVASH NAGAR, PURBA PARA | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||