Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10719 | Date 02/11/2023 |
| Token No | SM/22-23/13145 02/11/2023 | Serial | 007 |
| Patient Name | Mr. BISWAJIT GHOSH | Contact No | 9903793988 |
| Address | 538/B G T ROAD | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||