Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 10444 | Date 21/09/2023 |
| Token No | SM/22-23/12558 21/09/2023 | Serial | 008 |
| Patient Name | Mr. SHIBSHANKAR DUTTA | Contact No | 9831276974 |
| Address | 33/B SHIBTALA LANE | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||