Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08911 | Date 28/04/2023 |
| Token No | SM/22-23/14376 19/01/2024 | Serial | 012 |
| Patient Name | Mr. UTPAL GHOSH | Contact No | 8007589478 |
| Address | DHARMATALA | Age | 47 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||