Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10947 | Date 13/12/2023 |
| Token No | SM/22-23/15545 01/04/2024 | Serial | 010 |
| Patient Name | Mr. RAJA KOLEY | Contact No | 9875466141 |
| Address | 39 S B GHOSH LANE | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||