Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 05409 | Date 10/02/2022 |
| Token No | SM/22-23/13607 07/12/2023 | Serial | 010 |
| Patient Name | Mr. SHAYAMALI DEY | Contact No | 9480382506 |
| Address | 34 K M SHA STREET | Age | 52 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||