Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10716 | Date 02/11/2023 |
| Token No | SM/22-23/13142 02/11/2023 | Serial | 004 |
| Patient Name | Mr. SURESH CHANDRA GHOSH | Contact No | 8910257317 |
| Address | 538/B G T ROAD | Age | 52 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||