Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 10764 | Date 09/11/2023 |
| Token No | SM/22-23/13255 09/11/2023 | Serial | 004 |
| Patient Name | Mr. SHIBNATH DEY | Contact No | 8337086276 |
| Address | 111B J N LAHIRI ROAD | Age | 49 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||