Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10794 | Date 22/11/2023 |
| Token No | SM/22-23/13336 22/11/2023 | Serial | 011 |
| Patient Name | Mr. SK JAMAL | Contact No | 9339981191 |
| Address | 51A NANILAL BHATTACHARJEE STREET | Age | 64 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||