Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11316 | Date 27/03/2024 |
| Token No | SM/22-23/15429 27/03/2024 | Serial | 009 |
| Patient Name | Mr. PRASHANTA DEY | Contact No | 8961111072 |
| Address | 5/C DEY STREET | Age | 67 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||