Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10401 | Date 14/09/2023 |
| Token No | SM/22-23/12486 14/09/2023 | Serial | 026 |
| Patient Name | Mr. TAPAN MONDAL | Contact No | |
| Address | 90B THAKURBATI STREET | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||