Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 10811 | Date 23/11/2023 |
| Token No | SM/22-23/13367 23/11/2023 | Serial | 008 |
| Patient Name | Mr. SWAPAN PAL | Contact No | 8017396344 |
| Address | 112 G T ROAD | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||