Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10711 | Date 01/11/2023 |
| Token No | SM/22-23/13131 01/11/2023 | Serial | 018 |
| Patient Name | Mr. ASHIT KUMAR DEY | Contact No | 9163709798 |
| Address | 595 G.T. ROAD, SIRISH TALA | Age | 79 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||