Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 11190 | Date 22/02/2024 |
| Token No | SM/22-23/14899 22/02/2024 | Serial | 005 |
| Patient Name | Mr. SHYAMAL BHATTACHARYA | Contact No | 9433812322 |
| Address | 126A N.N. COLONY | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||