Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10507 | Date 25/09/2023 |
| Token No | SM/22-23/12663 25/09/2023 | Serial | 024 |
| Patient Name | Mr. SANDIP SANTRA | Contact No | 8100668039 |
| Address | 33 BHAGIRATHI LANE | Age | 21 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||