Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 05691 | Date 18/04/2022 |
| Token No | SM/22-23/14667 08/02/2024 | Serial | 016 |
| Patient Name | Mr. MRITYUNJOY SADHUKHAN | Contact No | 7980307923 |
| Address | 52 DHULIPARA LANE | Age | 73 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||