Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 10741 | Date 06/11/2023 |
| Token No | SM/22-23/13197 06/11/2023 | Serial | 020 |
| Patient Name | Mr. GOURANGA DEY | Contact No | 8961629510 |
| Address | 41 N N COLONY | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||