Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10491 | Date 22/09/2023 |
| Token No | SM/22-23/13847 16/12/2023 | Serial | 027 |
| Patient Name | Mr. PRASANTA PAL CHOWDHURY | Contact No | 7044552333 |
| Address | 8C/5 DEY STREET | Age | 63 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||