Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11194 | Date 26/02/2024 |
| Token No | SM/22-23/14935 26/02/2024 | Serial | 004 |
| Patient Name | Mr. BANAMALI MONDAL | Contact No | 9123691742 |
| Address | 39 S.B. GHOSH LANE | Age | 82 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||