Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 09119 | Date 19/05/2023 |
| Token No | SM/22-23/13743 13/12/2023 | Serial | 022 |
| Patient Name | Mr. UTPAL DUTTA | Contact No | 9875628520 |
| Address | 8 J N LAHIRI ROAD | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||