Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11044 | Date 17/01/2024 |
| Token No | SM/22-23/14315 17/01/2024 | Serial | 035 |
| Patient Name | Mr. BABLU BHOWMICK | Contact No | 9051072356 |
| Address | 62 DHULIPARA | Age | 69 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||