Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10415 | Date 15/09/2023 |
| Token No | SM/22-23/12508 15/09/2023 | Serial | 003 |
| Patient Name | Mr. ALOKE KUMAR GHOSH | Contact No | 8902225772 |
| Address | 48 L.M.B. STREET | Age | 67 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||