Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08588 | Date 20/03/2023 |
| Token No | SM/22-23/13706 12/12/2023 | Serial | 014 |
| Patient Name | Mr. BAIDYANATH DUTTA | Contact No | 9831423276 |
| Address | 84/A CHATRA BARUI PARA LANE | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||