Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08374 | Date 17/02/2023 |
| Token No | SM/22-23/13455 30/11/2023 | Serial | 011 |
| Patient Name | Mr. SUJOY SAHA | Contact No | 9231970488 |
| Address | PARBATI COMPLEX, PACHU BABUR BAZAR | Age | 46 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||