Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 10950 | Date 13/12/2023 |
| Token No | SM/22-23/13751 13/12/2023 | Serial | 030 |
| Patient Name | Mr. BUDHHADEB MUKHERJEE | Contact No | 9836617040 |
| Address | 101/A N N COLONY | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||