Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 03282 | Date 23/10/2019 |
| Token No | SM/22-23/15424 27/03/2024 | Serial | 004 |
| Patient Name | Mr. SOURAV NANDI | Contact No | 7003692464 |
| Address | 38P.K.B LANE | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||