Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10782 | Date 16/11/2023 |
| Token No | SM/22-23/13309 16/11/2023 | Serial | 010 |
| Patient Name | Mr. SNEHASISH ROYCHOWDHURY | Contact No | 6291783689 |
| Address | 151 FEDER ROAD, BELGHARIA, KOLKATA | Age | 52 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||