Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 10569 | Date 28/09/2023 |
| Token No | SM/22-23/12791 28/09/2023 | Serial | 022 |
| Patient Name | Mr. RAJESH KOSTA | Contact No | 8777397902 |
| Address | 58 GANGULY BAGAN | Age | 24 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||