Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 02175 | Date 04/06/2019 |
| Token No | SM/22-23/14603 05/02/2024 | Serial | 032 |
| Patient Name | Mr. TANUMAY DEY | Contact No | 9163035703 |
| Address | 31 AKHRABATI LANE | Age | 22 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||