Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11135 | Date 12/02/2024 |
| Token No | SM/22-23/14742 12/02/2024 | Serial | 018 |
| Patient Name | Mr. SUNIL KUMAR DUTTA | Contact No | 8240984173 |
| Address | 25/A KASHI DOCTOR LANE | Age | 68 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||