Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10911 | Date 11/12/2023 |
| Token No | SM/22-23/13660 11/12/2023 | Serial | 001 |
| Patient Name | Mr. PURNOCHANDRA SHAW | Contact No | 9681097769 |
| Address | 40/1/A BHAGIRATHI LANE | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||