Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10827 | Date 29/11/2023 |
| Token No | SM/22-23/13406 29/11/2023 | Serial | 003 |
| Patient Name | Mr. ARJA KUMAR CHOWDHURY | Contact No | 8012569820 |
| Address | 8 S B GHOSH LANE | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||