Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11089 | Date 01/02/2024 |
| Token No | SM/22-23/14551 01/02/2024 | Serial | 023 |
| Patient Name | Mr. DIPANKAR SETH | Contact No | 6291626452 |
| Address | 42/B GOALA PARA LANE, SHEORAFULI | Age | 19 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||