Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 11004 | Date 03/01/2024 |
| Token No | SM/22-23/14065 03/01/2024 | Serial | 022 |
| Patient Name | Mr. CHANDRIKA PANDIT | Contact No | 8334025508 |
| Address | 14 SATISH CHANDRA GHOSH LANE | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||