Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10809 | Date 23/11/2023 |
| Token No | SM/22-23/13362 23/11/2023 | Serial | 003 |
| Patient Name | Mr. MONOHOR DAS | Contact No | 9903278053 |
| Address | 4 AKHRABATI LANE | Age | 68 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||