Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10554 | Date 27/09/2023 |
| Token No | SM/22-23/12778 28/09/2023 | Serial | 009 |
| Patient Name | Mr. ANUL KUMAR RAY | Contact No | 9525378993 |
| Address | 17/E DR. N L BHATTACHARYA STREET | Age | 26 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||